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Organization

EDEN AUTISM SERVICES

Active
Parent organization
EDEN AUTISM SERVICES
Organization subpart
Yes

Provider details

NPI number
Legal business name
EDEN AUTISM SERVICES
Authorized official
BETH LO (EHR/MEDICAID MANAGER)
(609) 608-8531
Entity
Organization

Contact information

Practice address
85 WILLIS DR, EWING, NJ 08628-2019
(609) 987-0099
(609) 987-0243
Mailing address
2 MERWICK RD, PRINCETON, NJ 08540-5730
(609) 987-0099
(609) 987-0243

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
05/16/2018
Last updated
05/16/2018
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