# CEREBRAL PALSY OF NORTH JERSEY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912422577
- **Authorized official:** MR. RICK BORNSTEIN CPA (CFO)
- **Authorized official phone:** (973) 821-8107

## Contact information

- **Practice address:** 760 VALLEY ST, MAPLEWOOD, NJ 07040-2610
- **Practice address phone:** (973) 761-1500
- **Mailing address:** 220 S ORANGE AVE STE 300, LIVINGSTON, NJ 07039-5800
- **Mailing address phone:** (973) 763-9900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |
| 343800000X | Secured Medical Transport (VAN) | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 08/04/2017
- **Last updated:** 08/04/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0479268 | — | NJ |