Organization
THE OPEN DOOR OF NJ
Active
Other names
Victory Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE HALL (RESIDENTIAL DIRECTOR)
(732) 408-5681
Entity
Organization
Contact information
Practice address
36 BEAUMONT DR, BRICK, NJ 08723-7916
(732) 408-5681
Mailing address
1658 LAKEWOOD RD STE 12, TOMS RIVER, NJ 08755-1280
(732) 408-5681
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/05/2015
Last updated
04/29/2021
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