1699002865 SOUTHGATE RESIDENTIAL LIFE CENTER

Emotionally Disturbed Childrens' Residential Treatment Facility

Active

Basic Information

Organization Name
SOUTHGATE RESIDENTIAL LIFE CENTER
Enumeration Date
November 10, 2009
Last Update
November 10, 2009
Authorized Official
MR. LAWRENCE DAVIS
MEMBER
Phone: (609) 288-6398

Practice Location

Address
2630 ROUTE 206
MOUNT HOLLY, NJ 080606708
Phone
(609) 288-6398

Mailing Address

Address
2630 ROUTE 206
MOUNT HOLLY, NJ 080606708
Phone
(609) 288-6398

Specialties & Taxonomies

Specialty Code Classification License State Primary
Emotionally Disturbed Childrens' Residential Treatment Facility
322D00000X Residential Treatment Facility, Emotionally Disturbed Children N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
1700049475 01 NJ INDIVIDUAL
1946510 05 NJ N/A

Frequently Asked Questions

What is SOUTHGATE RESIDENTIAL LIFE CENTER's NPI number?
SOUTHGATE RESIDENTIAL LIFE CENTER's NPI number is 1699002865.
Which doctor has NPI number 1699002865?
The doctor with NPI number 1699002865 is SOUTHGATE RESIDENTIAL LIFE CENTER.
What is SOUTHGATE RESIDENTIAL LIFE CENTER's practice address?
SOUTHGATE RESIDENTIAL LIFE CENTER's practice address is 2630 ROUTE 206, MOUNT HOLLY, NJ, 080606708.
Which doctor practices at 2630 ROUTE 206, MOUNT HOLLY, NJ, 080606708?
SOUTHGATE RESIDENTIAL LIFE CENTER practices at 2630 ROUTE 206, MOUNT HOLLY, NJ, 080606708.
What is SOUTHGATE RESIDENTIAL LIFE CENTER's phone number?
SOUTHGATE RESIDENTIAL LIFE CENTER's phone number is (609) 288-6398.
Who is (609) 288-6398?
(609) 288-6398 is the phone number for SOUTHGATE RESIDENTIAL LIFE CENTER.
What is SOUTHGATE RESIDENTIAL LIFE CENTER's specialty?
SOUTHGATE RESIDENTIAL LIFE CENTER's specialty is Emotionally Disturbed Childrens' Residential Treatment Facility.
What type of doctor is SOUTHGATE RESIDENTIAL LIFE CENTER?
SOUTHGATE RESIDENTIAL LIFE CENTER is a Emotionally Disturbed Childrens' Residential Treatment Facility.
Is SOUTHGATE RESIDENTIAL LIFE CENTER a Residential Treatment Facility, Emotionally Disturbed Children?
Yes, SOUTHGATE RESIDENTIAL LIFE CENTER is a Residential Treatment Facility, Emotionally Disturbed Children.
Is SOUTHGATE RESIDENTIAL LIFE CENTER still practicing?
Yes, SOUTHGATE RESIDENTIAL LIFE CENTER is currently practicing.
Is SOUTHGATE RESIDENTIAL LIFE CENTER accepting new patients?
SOUTHGATE RESIDENTIAL LIFE CENTER may be accepting new patients. Please call their office at (609) 288-6398 to inquire about availability.
Is NPI 1699002865 still active?
Yes, NPI 1699002865 is currently active.
Where does SOUTHGATE RESIDENTIAL LIFE CENTER practice?
SOUTHGATE RESIDENTIAL LIFE CENTER practices in MOUNT HOLLY, NJ.