THEARC WARREN COUNTY CHAPTER NPI 1073051025

NPI Information

THEARC, WARREN COUNTY CHAPTER is a community based residential treatment facility, intellectual and/or developmental disabilities in Hackettstown, NJ. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. THEARC, WARREN COUNTY CHAPTER NPI is 1073051025. The provider is registered as an organization entity type.

The provider's business location address is:

431 HURLEY DR
HACKETTSTOWN, NJ
ZIP 07840-835
Phone: (908) 850-0236
Fax: (908) 852-0784

The provider's authorized official is Robert Alexander Pruznick .
The authorized official title is Ceo and has the following contact phone number (908) 689-7525.

The enumeration date for this NPI number is 2/9/2017 and was last updated on 2/9/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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