Organization
SPECIAL HOMES OF NEW JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRENCE MCKEON M.ED (EXECUTIVE DIRECTOR)
(973) 886-1953
Entity
Organization
Contact information
Practice address
203 HILLSIDE AVE, BOONTON, NJ 07005-1229
(973) 886-1953
(973) 664-1795
Mailing address
203 HILLSIDE AVE, BOONTON, NJ 07005-1229
(973) 886-1953
(973) 664-1795
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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