Healthcare Provider Details

I. General information

NPI: 1710841630
Provider Name (Legal Business Name): ARCHWAY PROGRAMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1764 COLGATE PL
UNION NJ
07083-5546
US

IV. Provider business mailing address

280 JACKSON RD P.O. BOX 668
ATCO NJ
08004-1645
US

V. Phone/Fax

Practice location:
  • Phone: 856-767-5757
  • Fax:
Mailing address:
  • Phone: 856-767-5757
  • 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 Number
License Number State

VIII. Authorized Official

Name: SHAWN GIBSON
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 856-767-5757