OrganizationActive
A.w. Holdings, LLC
NPI 1174030134 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Vineland, NJ
Provider details
- NPI number
- 1174030134
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Nancy Bobay, Chief Compliance Officer(260) 207-5604
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
1670 Flora Rd
Vineland, NJ 08360-9102
Phone: (856) 697-8517
Approximate (ZIP-level) locationGet directions
Mailing address
8515 Bluffton Rd
Fort Wayne, IN 46809-3022
Other names (DBA / former)
- Doing business as
- Benchmark Human Services
Registry dates
- Enumerated
- 2017-12-29
- Last updated
- 2017-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.