Provider Demographics
NPI:1306052733
Name:POST HOUSE-COUNTY OF BURLINGTON
Entity type:Organization
Organization Name:POST HOUSE-COUNTY OF BURLINGTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNTY ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AUGUSTUS
Authorized Official - Middle Name:M
Authorized Official - Last Name:MOSCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-265-5020
Mailing Address - Street 1:610 PEMBERTON BROWNS MILLS ROAD
Mailing Address - Street 2:
Mailing Address - City:NEW LISBON
Mailing Address - State:NJ
Mailing Address - Zip Code:08064
Mailing Address - Country:US
Mailing Address - Phone:609-726-7155
Mailing Address - Fax:609-894-8964
Practice Address - Street 1:610 PEMBERTON BROWNS MILLS ROAD
Practice Address - Street 2:
Practice Address - City:NEW LISBON
Practice Address - State:NJ
Practice Address - Zip Code:08064
Practice Address - Country:US
Practice Address - Phone:609-726-7155
Practice Address - Fax:609-894-8964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ80360324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ100511OtherNUMBER ISSUED BY NEW JERS