Organization
BROADSTEP ACADEMY-NEW JERSEY, INC.
Active
Other names
Vineyard GH DDD
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY BATES (ACCOUNTING MANAGER)
(973) 579-3700
Entity
Organization
Contact information
Practice address
253 VINEYARD RD, ATCO, NJ 08004-2369
(973) 579-3700
Mailing address
8 WILSON DR, SPARTA, NJ 07871-3400
(973) 579-3700
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0479896
—
NJ
Enumeration date
01/12/2022
Last updated
01/12/2022
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