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Organization
SOMERSET HOME FOR TEMPORARILY DISPLACED CHILDREN
Active
Organization
SOMERSET HOME FOR TEMPORARILY DISPLACED CHILDREN
Active
Other names
Passages
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY FETZKO (EXECUTIVE DIRECTOR)
(908) 526-6605
Entity
Organization
Contact information
Practice address
16 4TH AVE, BRIDGEWATER, NJ 08807-2004
(908) 526-6686
(908) 526-4242
Mailing address
49 BRAHMA AVE, P.O. BOX 6781, BRIDGEWATER, NJ 08807-2758
(908) 526-6605
(908) 526-4433
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
5070
NJ
Other
Enumeration date
04/04/2007
Last updated
08/22/2020
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