Provider Demographics
NPI:1801944590
Name:ARCHWAY PROGRAMS, INC.
Entity type:Organization
Organization Name:ARCHWAY PROGRAMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-767-5757
Mailing Address - Street 1:280 JACKSON RD
Mailing Address - Street 2:PO BOX 668
Mailing Address - City:ATCO
Mailing Address - State:NJ
Mailing Address - Zip Code:08004-1645
Mailing Address - Country:US
Mailing Address - Phone:856-767-5757
Mailing Address - Fax:856-767-4487
Practice Address - Street 1:1 NEPTUNE DR N
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-2126
Practice Address - Country:US
Practice Address - Phone:856-582-3900
Practice Address - Fax:856-556-4025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ403070205251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0016705Medicaid