Organization
RUTGERS-UNIVERSITY BEHAVIORAL HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCIS X. COLFORD (VICE PRESIDENT, FINANCE & TREASURER)
(732) 235-5940
Entity
Organization
Contact information
Practice address
44-60 LIVINGSTON STREET, NEWARK, NJ 07103
(732) 235-3493
(732) 235-2101
Mailing address
671 HOES LN W, PO BOX 1392, PISCATAWAY, NJ 08854-8021
(732) 235-3493
(732) 235-2101
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
20101M040041
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0284360
—
NJ
Enumeration date
07/19/2011
Last updated
07/03/2013
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