Provider Demographics
NPI:1447792528
Name:KELSCH ASSOCIATES INC. NEW JERSEY
Entity type:Organization
Organization Name:KELSCH ASSOCIATES INC. NEW JERSEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATTI
Authorized Official - Middle Name:
Authorized Official - Last Name:AMORIELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-456-2022
Mailing Address - Street 1:368 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:WESTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08093-1193
Mailing Address - Country:US
Mailing Address - Phone:856-456-2022
Mailing Address - Fax:856-456-4372
Practice Address - Street 1:127 NATALIE RD
Practice Address - Street 2:
Practice Address - City:DELRAN
Practice Address - State:NJ
Practice Address - Zip Code:08075-1360
Practice Address - Country:US
Practice Address - Phone:856-393-8329
Practice Address - Fax:856-544-3313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-07
Last Update Date:2017-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities