Organization
SPECIAL HOMES OF NEW JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRENCE MCKEON M.ED. (EXECUTIVE DIRECTOR)
(973) 886-1953
Entity
Organization
Contact information
Practice address
67 CHAPIN RD APT 7, PINE BROOK, NJ 07058-9789
(973) 886-1953
(973) 664-1795
Mailing address
67 CHAPIN RD APT 7, PINE BROOK, NJ 07058-9789
(973) 886-1953
(973) 664-1795
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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