# STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hunterdon Developmental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811931504
- **Authorized official:** MELISSA A CLOUGH (BUSINESS MANAGER)
- **Authorized official phone:** (908) 730-1301

## Contact information

- **Practice address:** 40 PITTSTOWN RD, CLINTON, NJ 08809-1209
- **Practice address phone:** (908) 730-1301
- **Practice address fax:** (908) 730-1339
- **Mailing address:** 40 PITTSTOWN ROAD, P.O. BOX 4003, CLINTON, NJ 08864
- **Mailing address phone:** (908) 730-1301
- **Mailing address fax:** (908) 730-1339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | NJ | Yes |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 02/16/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4482506 | — | NJ |
| 01 | — | 528586 | MEDICARE BILLING GROUP | — |