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NPI 1104671015 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Toms River, NJ
Provider details
- NPI number
- 1104671015
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Shataya Boswell, Director
Mailing address
16 Winding River Dr
Toms River, NJ 08755-5123
Registry dates
- Enumerated
- 2024-04-23
- Last updated
- 2025-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.