SearchNew JerseyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Khristopher Inman

NPI 1609523869 · on the registry since 2022 · sole proprietor

Practice

Address
703 Arons Cir
Sewell, NJ 08080
Phone
(856) 434-1856
Organisation at this address
Divine Individualized Supports
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X
Sex
Male
Record last updated
2022-03-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey