OrganizationActive
Pennreach
NPI 1003320409 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Long Branch, NJ
Provider details
- NPI number
- 1003320409
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Pauline Bailo, Director(215) 475-2401
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
163 Garrett Dr
Long Branch, NJ 07740-5587
Phone: (732) 963-4523
Fax: (609) 259-4120
Street-level locationGet directions
Mailing address
18 S Main St
Allentown, NJ 08501-1610
Registry dates
- Enumerated
- 2017-11-21
- Last updated
- 2017-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.