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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
MR. RICK BORNSTEIN (CFO)
(973) 821-8107
Entity
Organization
Contact information
Practice address
415 HAMBURG TPKE, BUILDING C-1 & C-2, WAYNE, NJ 07470-2129
(973) 956-9040
(973) 956-9404
Mailing address
220 S ORANGE AVE, SUITE 300, LIVINGSTON, NJ 07039-5804
(973) 763-9900
(973) 763-9905
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343800000X
Secured Medical Transport (VAN)
—
—
385H00000X
Respite Care
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
06/02/2016
Last updated
08/02/2017
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