# 689 SOUTH 16TH STREET CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Emergency Housing Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902330228
- **Authorized official:** TRICIA MAC EVOY (TRUSTEE)
- **Authorized official phone:** (973) 271-5802

## Contact information

- **Practice address:** 555 PASSAIC AVENUE, WEST CALDWELL, NJ 07006
- **Practice address phone:** (973) 808-9300
- **Mailing address:** 555 PASSAIC AVENUE, WEST CALDWELL, NJ 07006
- **Mailing address phone:** (973) 808-9300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 04/13/2017
- **Last updated:** 04/13/2017