Provider Demographics
NPI:1043037922
Name:OCCUPATIONAL TRAINING CENTER OF BURLINGTON COUNTY INC.
Entity type:Organization
Organization Name:OCCUPATIONAL TRAINING CENTER OF BURLINGTON COUNTY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-267-6677
Mailing Address - Street 1:2 MANHATTAN DR
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-4120
Mailing Address - Country:US
Mailing Address - Phone:609-267-6677
Mailing Address - Fax:609-265-8418
Practice Address - Street 1:35 EASTGATE LN
Practice Address - Street 2:
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-2322
Practice Address - Country:US
Practice Address - Phone:609-685-5150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities