Organization
BEACON SPECIALIZED LIVING NEW JERSEY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARREN HODGDON (PRESIDENT)
(269) 427-8400
Entity
Organization
Contact information
Practice address
11 GAFFNEY LN, WILLINGBORO, NJ 08046-3001
(609) 987-5003
Mailing address
13 ROSZEL RD STE B110, PRINCETON, NJ 08540-6211
(609) 987-5003
(609) 520-7979
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
02/08/2024
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