| NPI | 1366978181 |
|---|---|
| Other Name | BANCROFT-EVANS LANE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER CRIPPS Chief Financial Officer 856-348-1196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NJ GH9020) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-11-08 |