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Spectrum For Living Development, INC.

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

NPI number1124540802
StatusActive
Last updated in NPPESFeb 28, 2020

Details

NPI
1124540802
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 codeDescriptionLicenseStatePrimary
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesSA882NJYes

Practice location

20 Morris Rd Apt 3
Ringwood, NJ 07456-1700

Phone 973-962-6688

Mailing address

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

Phone 201-358-8000 · Fax 201-358-8089

Authorized official

William G. Muilenburg
Cfo
2013588000

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