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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
LORIS TRENFIELD (PROVIDER/OWNER)
(609) 802-4821
Entity
Organization

Contact information

Practice address
80 LAUREL AVE, TRENTON, NJ 08618-4040
(609) 802-4821
Mailing address
114 HONEYSUCKLE DR, EWING, NJ 08638-1841
(609) 802-4821

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
11/02/2024
Last updated
11/02/2024
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