Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Southgate Residential Life Center

Emotionally Disturbed Childrens' Residential Treatment Facility in Mount Holly, NJ · enumerated 2009 · authorized official Lawrence Davis, Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1699002865

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Registry record

Entity type Organization (Type 2)

Legal business name Southgate Residential Life Center

Practice address 2630 Route 206, Mount Holly, NJ, 08060

Phone (609) 288-6398

Enumeration date Nov 10, 2009

Last updated in NPPES Nov 10, 2009

Taxonomy & classification

322D00000X Emotionally Disturbed Childrens' Residential Treatment Facility Residential Treatment Facilities Primary

Authorized official

Name Lawrence Davis

Title Member

Phone (609) 288-6398

Other identifiers

Identifier	Type	State	Issuer
1700049475	Other	NJ	INDIVIDUAL
1946510	Medicaid	NJ	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Southgate Residential Life Center?

Southgate Residential Life Center is registered in NPPES as a Emotionally Disturbed Childrens' Residential Treatment Facility (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-11-10.