Healthcare Provider Details

I. General information

NPI: 1801944590
Provider Name (Legal Business Name): ARCHWAY PROGRAMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 04/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 NEPTUNE DR N
SEWELL NJ
08080-2126
US

IV. Provider business mailing address

280 JACKSON RD PO BOX 668
ATCO NJ
08004-1645
US

V. Phone/Fax

Practice location:
  • Phone: 856-582-3900
  • Fax: 856-556-4025
Mailing address:
  • Phone: 856-767-5757
  • Fax: 856-767-4487

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number403070205
License Number StateNJ

VIII. Authorized Official

Name: MR. GEORGE RICHARDS
Title or Position: CHIEF EXECUTIVE OFFICER/CFO
Credential:
Phone: 856-767-5757