Organization
STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL
Active
Other names
Woodbine Developmental Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J ARMSTRONG RN, BSN, MSA (CEO)
(609) 861-6041
Entity
Organization
Contact information
Practice address
1175 DEHIRSCH AVE, WOODBINE, NJ 08270-2401
(609) 861-2164
(609) 861-5176
Mailing address
1175 DEHIRSCH AVE, WOODBINE, NJ 08270-2401
(609) 861-2164
(609) 861-5176
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4472004
—
NJ
01
—
528582
PROVIDER GROUP
NJ
Enumeration date
06/03/2006
Last updated
01/09/2017
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