Organization
ALFA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASHIER RESPES (CEO)
(856) 428-1101
Entity
Organization
Contact information
Practice address
17 WILSON RD, PINE HILL, NJ 08021-6817
(185) 642-8110
Mailing address
10 LAKESIDE AVE, CHERRY HILL, NJ 08003-3611
(856) 428-1101
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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