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Organization
CEREBRAL PALSY OF NORTH JERSEY
Active
Organization
CEREBRAL PALSY OF NORTH JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK BORNSTEIN CPA (CHIEF FINANCIAL OFFICER)
(973) 821-8107
Entity
Organization
Contact information
Practice address
23 OAK AVE, WEST ORANGE, NJ 07052-2409
(973) 731-1700
Mailing address
220 S ORANGE AVE STE 300, LIVINGSTON, NJ 07039-5800
(973) 763-9900
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
343800000X
Secured Medical Transport (VAN)
—
NULL
385H00000X
Respite Care
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0479268
—
NJ
Enumeration date
09/01/2017
Last updated
02/28/2023
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