New Jersey Community Development Corporation
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Hawthorne, NJ. Organization (NPI-2).
NPI number1235693136
StatusActive
Last updated in NPPESJan 24, 2019
Details
- NPI
- 1235693136
- Entity type
- Organization (NPI-2)
- Legal business name
- New Jersey Community Development Corporation
- Organization subpart
- No
- Enumeration date
- Jan 24, 2019
- Last updated
- Jan 24, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
34 Wagner Pl Apt 2Hawthorne, NJ 07506-1334
Phone 973-413-1600
Mailing address
Po Box 6976Paterson, NJ 07509-6976
Phone 973-413-1600
Authorized official
Robert Collins
Cfo
9734131609
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