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Organization
ST. TIMOTHY'S GROUP HOME FOR BOYS
Active
Organization
ST. TIMOTHY'S GROUP HOME FOR BOYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY D. BENNETT (DEPUTY EXECUTIVE DIRECTOR)
(973) 621-2273
Entity
Organization
Contact information
Practice address
25 JAMES ST, NEWARK, NJ 07102-2001
(973) 621-2273
(973) 621-7259
Mailing address
399 HEYWOOD AVE, ORANGE, NJ 07050-2006
(973) 673-4562
(973) 673-3238
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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