649 GREENBRIAR DR NPI 1881565943

NPI Information

  • NPI: 1881565943
  • Provider Name: 649 GREENBRIAR DR
  • Classification: Psychologist - 103TM1800X
  • Specialization: Intellectual and Developmental Disabilities
  • Entity Type: Organization
  • Address: 649 GREENBRIAR DR
    WILLIAMSTOWN, NJ
    ZIP 08094
  • Phone: (856) 666-4929

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NPI Details

649 GREENBRIAR DR is an intellectual and developmental disabilities in Williamstown, NJ. 649 GREENBRIAR DR NPI is 1881565943. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

649 GREENBRIAR DR
WILLIAMSTOWN, NJ
ZIP 08094-149
Phone: (856) 666-4929
Fax: (888) 218-8285

The provider's authorized official is Elienne Dautruche .
The authorized official title is Executive Director and has the following contact phone number (856) 625-9934.

The enumeration date for this NPI number is 9/12/2025 and was last updated on 9/12/2025.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TM1800XPsychologistIntellectual and Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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