Organization
LIFE SKILLS RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MARKOWITZ ED.M. (PRESIDENT AND EXECUTIVE DIRECTOR)
(908) 927-1110
Entity
Organization
Contact information
Practice address
10 MALLARD RD, HILLSBOROUGH, NJ 08844-4605
(908) 927-1110
(908) 927-1113
Mailing address
PO BOX 935, SOMERVILLE, NJ 08876-0935
(908) 927-1110
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
GH756
NJ
Other
Enumeration date
06/27/2016
Last updated
03/29/2017
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