Organization
COMMUNITY QUEST WOODBINE
Active
Parent organization
COMMUNITY QUEST WOODBINE
Other names
Community Quest, Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY QUEST WOODBINE
Authorized official
KERRIE JEAN KELLY (CFO)
(609) 646-0388
Entity
Organization
Contact information
Practice address
1449 DEHIRSCH AVE APT 1, WOODBINE, NJ 08270-2454
(609) 861-3044
Mailing address
6814 TILTON RD, EGG HARBOR TOWNSHIP, NJ 08234-4490
(609) 646-0388
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0487694
—
NJ
Enumeration date
07/02/2019
Last updated
07/02/2019
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