Pennreach
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Woodbridge, NJ
NPI 1962056317 · NPPES record last updated Jul 24, 2019
Key facts
- NPI
- 1962056317
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- PENNREACH
- Practice address
- 1482 Rahway Avenue
Apt 111
Woodbridge, NJ 17001-0850 - Phone
- (215) 409-5519
- NPI assigned
- Jul 24, 2019
- Organization subpart
- No
Authorized official
- Name
- Krystal Odell
- Title
- Ceo
- Phone
- (215) 409-5519
Corporate family (same tax ID) 13
National Provider Directory
- Tax ID family
- Pennreach
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
1482 Rahway Avenue
Apt 111
Woodbridge, NJ 17001-0850
Mailing address
18 S Main St
Allentown, NJ 08501-1610
Phone (215) 409-5519
Other providers in Woodbridge, NJ
- Pennreach
- Pennreach
- Pennreach
- Pennreach
- Pennreach
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- Pablo Perez
- Perry Dental and TMJ Center, Inc
- Personalized Serenity Counseling Services
- Jennifer Megan Peterson
All providers in Woodbridge, NJ · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.