Organization · NPI-2

Cerebral Palsy Of North Jersey

Community/Behavioral Health · Livingston, NJ

NPI number1578968673
StatusActive
Last updated in NPPESAug 29, 2022

Details

NPI
1578968673
Entity type
Organization (NPI-2)
Legal business name
Cerebral Palsy Of North Jersey
Organization subpart
No
Enumeration date
Oct 31, 2014
Certification date
Aug 29, 2022
Last updated
Aug 29, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health40QA01001600NJYes

Practice location

220 S Orange Ave
Suite 300
Livingston, NJ 07039-5804

Phone 973-763-9900 · Fax 973-488-6223

Mailing address

220 S Orange Ave
Suite 300
Livingston, NJ 07039-5804

Phone 973-763-9900 · Fax 973-488-6223

Authorized official

Allison Tyler
Ican Program Director
9737639900

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