Organization
VISIONQUEST OF NEW JERSEY
Active
Parent organization
VISIONQUEST NATIONAL LTD.
Organization subpart
Yes
Provider details
NPI number
Legal business name
VISIONQUEST NATIONAL LTD.
Authorized official
DR. BETH ANN ROSICA PH.D. (VICE PRESIDENT - SERVICE DELIVERY)
(610) 486-2280
Entity
Organization
Contact information
Practice address
108 ROUTE 72, NEW LISBON, NJ 08064-0370
(609) 894-4826
(609) 894-8109
Mailing address
108 ROUTE 72, NEW LISBON, NJ 08064
(609) 894-4826
(609) 894-8109
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
0019666
NJ
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
1670
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166715
—
NJ
05
—
0182320
—
NJ
Enumeration date
12/11/2006
Last updated
07/09/2014
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