Organization
SPECTRUM FOR LIVING DEVELOPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM G. MUILENBURG (CFO)
(201) 358-8000
Entity
Organization
Contact information
Practice address
81 RIVERVALE RD, RIVERVALE, NJ 07675-6214
(201) 722-0904
Mailing address
210 RIVERVALE RD, SUITE 3, RIVERVALE, NJ 07675-6281
(201) 358-8000
(201) 358-8089
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
SA416
NJ
Other
Enumeration date
07/01/2015
Last updated
02/28/2020
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