OrganizationActive
21 Plus, Inc
NPI 1447752365 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Clementon, NJ
Provider details
- NPI number
- 1447752365
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Diane Hutton-Rose, Interim Executive Director(732) 240-3118
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
9 Stoney Bridge Rd
Clementon, NJ 08021-2706
Phone: (732) 240-3118
Approximate (ZIP-level) locationGet directions
Mailing address
1900 Route 70 Ste 12
Manchester, NJ 08759-4627
Registry dates
- Enumerated
- 2018-03-07
- Last updated
- 2018-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.