OrganizationActive
Personalized Independent Living Opporuntities & Training Services
NPI 1174904742 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Blackwood, NJ
Provider details
- NPI number
- 1174904742
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Catherine Hannah, Executive Director(856) 906-0600
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
4201 Aberdeen Ln
Blackwood, NJ 08012-5590
Phone: (856) 809-0600
Fax: (856) 809-0500
Street-level locationGet directions
Mailing address
289 Jackson Rd
Berlin, NJ 08009-2619
Other names (DBA / former)
- Doing business as
- P.i.l.o.t. Services
Registry dates
- Enumerated
- 2015-06-09
- Last updated
- 2015-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.