Southgate Residential Life Center
NPI 1699002865 · Emotionally Disturbed Childrens' Residential Treatment Facility · Mount Holly, NJ
Southgate Residential Life Center is a Emotionally Disturbed Childrens' Residential Treatment Facility organization in Mount Holly, NJ (NPI 1699002865).
Provider details
- NPI number
- 1699002865
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Lawrence Davis, Member(609) 288-6398
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Mailing address
Registry dates
- Enumerated
- 2009-11-10
- Last updated
- 2009-11-10
Frequently asked questions
- What is Southgate Residential Life Center's NPI number?
- Southgate Residential Life Center's National Provider Identifier (NPI) is 1699002865, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southgate Residential Life Center?
- Southgate Residential Life Center is classified in the NPPES registry as Emotionally Disturbed Childrens' Residential Treatment Facility (Residential Treatment Facilities).
- Where is Southgate Residential Life Center located?
- Southgate Residential Life Center's practice location on file with NPPES is 2630 Route 206, Mount Holly, NJ 08060-6708.
- What is Southgate Residential Life Center's phone number?
- The practice phone number listed in the NPPES registry for Southgate Residential Life Center is (609) 288-6398.
- Who is the authorized official for Southgate Residential Life Center?
- The authorized official listed on Southgate Residential Life Center's NPPES record is Lawrence Davis, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southgate Residential Life Center's NPI active?
- Yes — Southgate Residential Life Center's NPI (1699002865) is active in the NPPES registry as of the last update on 2009-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.