Organization
WOMEN'S RISING/PROJECT HOME
Active
Organization
WOMEN'S RISING/PROJECT HOME
Active
Parent organization
BAYONNE COMMUNITY MENTAL HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAYONNE COMMUNITY MENTAL HEALTH CENTER
Authorized official
MR. JOHN NEARY LCSW (PROGRAM DIRECTOR)
(201) 309-4663
Entity
Organization
Contact information
Practice address
657 BERGEN AVE, JERSEY CITY, NJ 07304-2649
(201) 309-4663
(201) 309-1380
Mailing address
657 BERGEN AVE, JERSEY CITY, NJ 07304-2649
(201) 309-4663
(201) 309-1380
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0187275
MEDICAID WORK FIRST (SAI)
NJ
Enumeration date
01/29/2010
Last updated
01/29/2010
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