Organization
ELWYN NEW JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE RICE JR. (SVP-IDD SERVICES)
(856) 794-5300
Entity
Organization
Contact information
Practice address
226 6TH AVENUE, GLASSBORO, NJ 08028
(856) 794-5300
Mailing address
228 W LANDIS AVE BLDG C, VINELAND, NJ 08360-8138
(856) 794-5300
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/18/2024
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