Organization
EDEN AUTISM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH LO (EHR TRAINER/MEDICAID SPECIALIST)
(609) 987-0099
Entity
Organization
Contact information
Practice address
4314 TOWN CT N, LAWRENCEVILLE, NJ 08648-4713
(609) 799-4878
Mailing address
2 MERWICK RD, PRINCETON, NJ 08540-5730
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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