Provider Demographics
NPI:1083085211
Name:ROWAN COLLEGE AT GLOUCESTER COUNTY
Entity Type:Organization
Organization Name:ROWAN COLLEGE AT GLOUCESTER COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXEC. DIRECTOR FINANCIAL SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-415-2228
Mailing Address - Street 1:1400 TANYARD RD
Mailing Address - Street 2:ADULT CENTER FOR TRANSITION
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-4222
Mailing Address - Country:US
Mailing Address - Phone:856-468-5000
Mailing Address - Fax:
Practice Address - Street 1:530 SALINA RD
Practice Address - Street 2:ADULT CENTER FOR TRANSITION
Practice Address - City:DEPTFORD
Practice Address - State:NJ
Practice Address - Zip Code:08080
Practice Address - Country:US
Practice Address - Phone:856-464-5203
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-14
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services