Organization
PROCLAVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIS ENABOSI MD (ADMINISTRATOR)
(973) 280-9600
Entity
Organization
Contact information
Practice address
460 N MAPLE AVE, EAST ORANGE, NJ 07017-4674
(908) 460-0343
Mailing address
21 CAMBRIDGE AVE, DENVILLE, NJ 07834-9600
(908) 460-0343
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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