Southgate Residential Life Center
Residential Treatment Facility, Emotionally Disturbed Children in Mount Holly, New Jersey
1699002865- Practice location
- 2630 Route 206, Mount Holly, NJ 08060-6708
- Phone
- 609-288-6398
- Fax
- —
- Last updated
- November 10, 2009
Southgate Residential Life Center is a healthcare organization based in Mount Holly, NJ. Southgate Residential Life Center practices in Mount Holly, NJ. The NPI Number for Southgate Residential Life Center is 1699002865. The current practice location address for Southgate Residential Life Center is 2630 Route 206, Mount Holly, NJ 08060-6708 and can be reached out via phone at 609-288-6398.
Provider Profile Details
- NPI Number
- 1699002865
- Provider Name
- Southgate Residential Life Center
- Provider Entity Type
- Organization
- Address
- 2630 Route 206, Mount Holly, NJ 08060-6708
- Phone Number
- 609-288-6398
- Primary Taxonomy
- Residential Treatment Facility, Emotionally Disturbed Children · 322D00000X
- Organization Subpart
- No
- Authorized Official
- Mr. Lawrence Davis · Member · 609-288-6398
- Provider Enumeration Date
- November 10, 2009
- Last Update Date
- November 10, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2630 Route 206
Mount Holly, NJ 08060-6708 - City
- Mount Holly
- State
- New Jersey
- Zip
- 08060-6708
- Phone Number
- 609-288-6398
Provider Business Mailing Address Details
- Address
- 2630 Route 206
Mount Holly, NJ 08060-6708 - City
- Mount Holly
- State
- NJ
- Zip
- 08060-6708
- Phone Number
- 609-288-6398
License Information
- Taxonomy
- Residential Treatment Facility, Emotionally Disturbed Children · 322D00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Southgate Residential Life Center?
The NPI number of Southgate Residential Life Center is 1699002865. It was assigned on November 10, 2009 and is currently active in the NPPES registry.
What is the specialty of Southgate Residential Life Center?
Southgate Residential Life Center is registered under the primary taxonomy Residential Treatment Facility, Emotionally Disturbed Children (code 322D00000X).
Where does Southgate Residential Life Center practice?
The practice location is 2630 Route 206, Mount Holly, NJ 08060-6708. The office can be reached at 609-288-6398 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699002865 directly on the NPPES registry website.