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Organization

ELWYN NEW JERSEY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM HARTLEY (EXECUTIVE DIRECTOR)
(856) 794-5300
Entity
Organization

Contact information

Practice address
1677 STRATHMORE TER, VINELAND, NJ 08361-8410
(856) 205-1762
Mailing address
228 W LANDIS AVE BLDG C, VINELAND, NJ 08360-8138
(856) 794-5300

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
NJ

Other

Enumeration date
07/28/2017
Last updated
08/18/2022
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