Spectrum For Living Development, INC.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in River Vale, NJ. Organization (NPI-2).

NPI number1093237828

StatusActive

Last updated in NPPESFeb 28, 2020

Details

NPI: 1093237828
Entity type: Organization (NPI-2)
Legal business name: Spectrum For Living Development, INC.
Organization subpart: No
Enumeration date: Jul 13, 2017
Certification date: Feb 28, 2020
Last updated: Feb 28, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	SA555	NJ	Yes

Practice location

81 Rivervale Rd Apt 1-2a
River Vale, NJ 07675-6285

Phone 201-722-0904

Mailing address

210 Rivervale Rd Apt 3
River Vale, NJ 07675-6281

Phone 201-358-8000 Â· Fax 201-358-8089

Authorized official

William G. Muilenburg
Cfo
2013588000

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Other Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in River Vale, NJ

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