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AVALON RUN
NPI 1043695349
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Lawrenceville, NJ

Active since July 28, 2015
11132 E RUN DR, LAWRENCEVILLE, NJ 08648(609) 799-0928 Get Directions Write a Review

NPPES record last updated: August 31, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Residential Treatment Facility, Intellec...

About AVALON RUN

This page provides the complete NPI Profile along with additional information for Avalon Run, a provider established in Lawrenceville, New Jersey operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1043695349 assigned on July 2015. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's other name is Avalon Run. The authorized official of this NPI record is Jamie K. Douglas. (Managing Director Adult Services)

NPI
1043695349 Verify this NPI
Provider Legal Name
EDEN AUTISM SERVICES.
Other Organization Name
AVALON RUN
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
11132 E RUN DR LAWRENCEVILLE, NJ 08648
Location Phone
(609) 799-0928
Mailing Address
2 MERWICK ROAD PRINCETON, NJ 08540
Mailing Phone
(609) 987-0099
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-28-2015
Last Update Date
08-31-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JAMIE K. DOUGLAS.

Authorized Official Title
MANAGING DIRECTOR ADULT SERVICES
Authorized Official Phone
(609) 987-0099

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Frequently Asked Questions

What is EDEN AUTISM SERVICES.'s NPI number?

The NPI number assigned to this healthcare provider is 1043695349, enumerated as an "organization" on July 28, 2015.

Where is the provider located?

The provider is located at 11132 E RUN DR LAWRENCEVILLE, NJ 08648 and the phone number is (609) 799-0928.

What is the provider's specialty?

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.