Organization
TEAM MANAGEMENT 2000 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVA FAUSTIN (EXECUTIVE DIR/CEO)
(201) 487-4700
Entity
Organization
Contact information
Practice address
395 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-2998
(973) 326-2220
(973) 239-2666
Mailing address
20 BANTA PL, SUITE 100, HACKENSACK, NJ 07601-5611
(201) 487-4700
(201) 487-4787
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
2000054-08
NJ
251S00000X
Community/Behavioral Health Agency
Primary
2000054-08
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0182044
—
NJ
Enumeration date
01/14/2009
Last updated
01/14/2009
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