Christopher Pegeron
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Clifton, NJ. Organization (NPI-2).
NPI number1952829707
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1952829707
- Entity type
- Organization (NPI-2)
- Legal business name
- Christopher Pegeron
- Organization subpart
- No
- Enumeration date
- Aug 31, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
101 Scales Plz Apt 213Clifton, NJ 07013-4313
Phone 973-779-0313
Mailing address
101 Scales Plz Apt 213Clifton, NJ 07013-4313
Phone 973-779-0313
Authorized official
Christopher Pegeron
Executive Director
9732327743
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