Organization
EMPIRE DEVELOPMENT ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARITZA ROMERO MSPSY (EXECUTIVE DIRECTOR)
(856) 842-8039
Entity
Organization
Contact information
Practice address
1 MIDFIELD ST, SICKLERVILLE, NJ 08081-5649
(856) 842-8039
Mailing address
1 MIDFIELD ST, SICKLERVILLE, NJ 08081-5649
(856) 842-8039
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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