Organization
SPECIAL NEEDS RESIDENCE LLC
Active
Other names
Mt. Bethel Village
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEENA SCHAFFER (MEMBER)
(908) 889-4200
Entity
Organization
Contact information
Practice address
130 MOUNT BETHEL RD, WARREN, NJ 07059-5129
(908) 757-7000
(908) 757-7022
Mailing address
316 SOUTH AVE, FANWOOD, NJ 07023-1325
(908) 889-4200
(908) 889-4224
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/23/2014
Last updated
06/20/2016
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