Provider Demographics
NPI:1184065039
Name:TREEHOUSE COMMUNITY SUPPORTS
Entity type:Organization
Organization Name:TREEHOUSE COMMUNITY SUPPORTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:T
Authorized Official - Last Name:VASSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-495-5937
Mailing Address - Street 1:20B CONEY AVE
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-4516
Mailing Address - Country:US
Mailing Address - Phone:856-839-0760
Mailing Address - Fax:856-838-0761
Practice Address - Street 1:20B CONEY AVE
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-4516
Practice Address - Country:US
Practice Address - Phone:856-839-0760
Practice Address - Fax:856-838-0761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-08
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services