| NPI | 1215463633 |
|---|---|
| Other Name | BANCROFT-THOMAS AVE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER CRIPPS Chief Financial Officer 856-348-1196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ GH2329) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2023-11-06 |