Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southgate Residential Life Center

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1699002865

Southgate Residential Life Center is an Emotionally Disturbed Childrens' Residential Treatment Facility in Mount Holly, New Jersey. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

2630 Route 206
Mount Holly, NJ 08060-6708
Phone: (609) 288-6398
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X

Record details

NPI number1699002865
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Davis — Member · (609) 288-6398
NPI enumeratedNovember 10, 2009
Last updated in NPPESNovember 10, 2009
Mailing address2630 Route 206, Mount Holly, NJ 08060-6708

Other providers in Mount Holly