# CHILDREN'S SPECIALIZED HOSPITAL

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

## Provider details

- **NPI number:** 1558793182
- **Authorized official:** MEGHAN LAUBE (SPEECH LANGAUAGE PATHOLOGIST)
- **Authorized official phone:** (908) 233-3720

## Contact information

- **Practice address:** 150 NEW PROVIDENCE RD, MOUNTAINSIDE, NJ 07092-2590
- **Practice address phone:** (908) 233-3720
- **Mailing address:** 150 NEW PROVIDENCE RD, MOUNTAINSIDE, NJ 07092-2590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 41YS00662000 | NJ | Yes |

## Other

- **Enumeration date:** 08/06/2013
- **Last updated:** 08/06/2013
