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Christopher Pegeron
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Clifton, New Jersey
NPI 1952829707

Christopher Pegeron is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Clifton, NJ. Christopher Pegeron practices in Clifton, NJ. The NPI Number for Christopher Pegeron is 1952829707 and holds a License No. (New Jersey).

The current practice location address for Christopher Pegeron is 101 Scales Plz Apt 213, Clifton, NJ and can be reached out via phone at 973-779-0313.

Location: 101 Scales Plz Apt 213, Clifton, NJ, 07013-4313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952829707
Provider Name
Christopher Pegeron
Credential
Provider Entity Type
Organization
Address
101 Scales Plz Apt 213, Clifton, NJ, 07013-4313
Phone Number
973-779-0313
Fax Number
Provider Enumeration Date
08/31/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0487716 05 NJ
institution
Provider Business Practice Location Address Details
Address
101 Scales Plz Apt 213
City
Clifton
State
New Jersey
Zip
07013-4313
Phone Number
973-779-0313
Fax Number
person
Provider Business Mailing Address Details
Address
101 Scales Plz Apt 213
City
Clifton
State
New Jersey
Zip
07013-4313
Phone Number
973-779-0313
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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