# COMMUNITY MILESTONES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114363033
- **Authorized official:** MR. DAMON K CEASER (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (973) 273-4401

## Contact information

- **Practice address:** 60 S FULLERTON AVE, SUITE 107, MONTCLAIR, NJ 07042-2632
- **Practice address phone:** (973) 273-4401
- **Practice address fax:** (973) 273-4406
- **Mailing address:** PO BOX 2011, EAST ORANGE, NJ 07019-2011
- **Mailing address phone:** (973) 273-4401
- **Mailing address fax:** (973) 273-4406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 05/18/2013
- **Last updated:** 05/18/2013