Organization
BANCROFT REHABILITATION SERVICES
Active
Other names
BRS-Lindens
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES P HARTMAN (CFO)
(856) 348-1196
Entity
Organization
Contact information
Practice address
311 WALTON AVE BLDG 100, MOUNT LAUREL, NJ 08054-9579
(800) 774-5516
(856) 429-4755
Mailing address
1255 CALDWELL RD, CHERRY HILL, NJ 08034-3220
(856) 348-1221
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8061009
—
NJ
Enumeration date
12/24/2018
Last updated
12/24/2018
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