# BETHESDA LUTHERAN

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

## Provider details

- **NPI number:** 1215459227
- **Authorized official:** LINDA A BRINKMAN (AREA DIRECTOR)
- **Authorized official phone:** (973) 831-4088

## Contact information

- **Practice address:** 59 SHERWOOD RD, DUMONT, NJ 07628-1816
- **Practice address phone:** (201) 384-6948
- **Mailing address:** 220 HAMBURG TPKE, POMPTON LAKES, NJ 07442-1802
- **Mailing address phone:** (973) 831-4088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/11/2017
- **Last updated:** 03/17/2018