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Organization
STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL
Active
Organization
STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL
Active
Other names
Hunterdon Developmental Center
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA A CLOUGH (BUSINESS MANAGER)
(908) 730-1301
Entity
Organization
Contact information
Practice address
40 PITTSTOWN RD, CLINTON, NJ 08809-1209
(908) 730-1301
(908) 730-1339
Mailing address
40 PITTSTOWN ROAD, P.O. BOX 4003, CLINTON, NJ 08864
(908) 730-1301
(908) 730-1339
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
320600000X
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4482506
—
NJ
01
—
528586
MEDICARE BILLING GROUP
—
Enumeration date
06/15/2006
Last updated
02/16/2024
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