Organization
DEDICATED GROUP HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIENNE DAUTRUCHE (OWNER)
(856) 625-9934
Entity
Organization
Contact information
Practice address
180 ALYSSA DR, MOUNT ROYAL, NJ 08061-1071
(866) 625-9934
Mailing address
180 ALYSSA DR, MOUNT ROYAL, NJ 08061-1071
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
DE
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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