Organization
INSTITUTE FOR BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAMON K CEASER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(888) 604-2433
Entity
Organization
Contact information
Practice address
1980 SPRINGFIELD AVE, SUITE 4L, MAPLEWOOD, NJ 07040-3440
(888) 604-2433
(862) 930-4862
Mailing address
1980 SPRINGFIELD AVE, SUITE 4L, MAPLEWOOD, NJ 07040-3440
(888) 604-2433
(862) 930-4862
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0490270
—
NJ
Enumeration date
12/04/2015
Last updated
01/30/2016
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