ELWYN NEW JERSEY
NPI 1215735840
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Cherry Hill, NJ
- Organization
- Community Based Residential Treatment Fa...
About ELWYN NEW JERSEY
This page provides the complete NPI Profile along with additional information for Elwyn New Jersey, a provider established in Cherry Hill, New Jersey operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1215735840 assigned on March 2025. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dermikka Dodson (Executive Director)
- NPI
- 1215735840 Verify this NPI
- Provider Name
- ELWYN NEW JERSEY
- Entity Type
- Organization
- Location Address
- 120 COVERED BRIDGE RD CHERRY HILL, NJ 08034
- Location Phone
- (856) 794-5300
- Mailing Address
- 228 W LANDIS AVE BLDG C VINELAND, NJ 08360
- Mailing Phone
- (856) 794-5300
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-07-2025
- Last Update Date
- 03-07-2025
- Code Navigator
Location Map
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
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215735840, enumerated as an "organization" on March 07, 2025.
The provider is located at 120 COVERED BRIDGE RD CHERRY HILL, NJ 08034 and the phone number is (856) 794-5300.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
