# TO BE DETERMINED A NJ NON PROFIT CORPORATION

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

## Provider details

- **NPI number:** 1740705813
- **Authorized official:** MR. TONY HARRINGTON (TRUSTEE)
- **Authorized official phone:** (551) 689-8268

## Contact information

- **Practice address:** 126 CLIFTON PL APT 306, JERSEY CITY, NJ 07304-6150
- **Practice address phone:** (551) 689-8268
- **Mailing address:** 126 CLIFTON PLACE, SUITE 306, JERSEY CITY, NJ 07304
- **Mailing address phone:** (551) 689-8268

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/09/2017
- **Last updated:** 07/21/2022