# DERLAN ENTERPRISES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** center for growth partial care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306063557
- **Authorized official:** ARNOLD LIZARDO BS (PRESIDENT)
- **Authorized official phone:** (973) 678-7445

## Contact information

- **Practice address:** 498 WILLIAM ST, EAST ORANGE, NJ 07017-2214
- **Practice address phone:** (973) 678-7445
- **Practice address fax:** (973) 678-6611
- **Mailing address:** 375 POND RD, BRIDGEWATER, NJ 08807-2082
- **Mailing address phone:** (973) 678-7445
- **Mailing address fax:** (973) 678-6611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | 10134-01-05 | NJ | Yes |

## Other

- **Enumeration date:** 04/19/2007
- **Last updated:** 07/08/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0054399 | — | NJ |