Organization
BANCROFT NEUROHEALTH
Active
Other names
Bancroft-Fislerville Rd
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES P HARTMAN (CHIEF FINANCIAL OFFICER)
(856) 348-1181
Entity
Organization
Contact information
Practice address
484 FISLERVILLE RD (RICHWOOD), MULLICA HILL, NJ 08062
(800) 774-5516
Mailing address
1255 CALDWELL RD, CHERRY HILL, NJ 08034-3220
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
TBI068
NJ
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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