NPI | 1972033264 |
---|---|
Other Name | BANCROFT-AVALON CT 3305 |
Entity Type | Organization |
Authorized Contact | JENNIFER CRIPPS Chief Financial Officer 856-348-1196 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NJ TBI005) |
Enumeration Date | 2017-06-19 |
Last Update Date | 2023-11-08 |