# SERV CENTERS OF NEW JERSEY, INC

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

## Provider details

- **NPI number:** 1629130729
- **Authorized official:** MR. GARY VAN NOSTRAND (CEO)
- **Authorized official phone:** (609) 406-0100

## Contact information

- **Practice address:** 111 NORTH AVENUE WEST, CRANFORD, NJ 07016
- **Practice address phone:** (908) 276-3359
- **Practice address fax:** (609) 276-2472
- **Mailing address:** 380 SCOTCH RD, W TRENTON, NJ 08628
- **Mailing address phone:** (609) 406-0100
- **Mailing address fax:** (609) 406-0307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 4040 | NJ | Yes |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 50004X42Y207 | NJ | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 50004X42Y307 | NJ | — |

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 08/22/2020