Healthcare Provider Details

I. General information

NPI: 1902331663
Provider Name (Legal Business Name): BANCROFT, A NEW JERSEY NONPROFIT CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2017
Last Update Date: 11/08/2023
Certification Date: 11/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 BALFIELD TERRACE
CHERRY HILL NJ
08003
US

IV. Provider business mailing address

1255 CALDWELL RD
CHERRY HILL NJ
08034-3220
US

V. Phone/Fax

Practice location:
  • Phone: 800-774-5516
  • Fax:
Mailing address:
  • Phone: 856-348-1181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License NumberGH1886
License Number StateNJ

VIII. Authorized Official

Name: JENNIFER CRIPPS
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 856-348-1196