| NPI | 1619642865 |
|---|---|
| Other Name | BANCROFT- CLUB HOUSE DR |
| 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 |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2023-11-08 |