Organization
MATHENY SCHOOL AND HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENDELL SPROTT M.D J.D (CEO)
(908) 234-0011
Entity
Organization
Contact information
Practice address
65 HIGHLAND AVENUE, PEAPACK, NJ 07977-0339
(908) 234-0011
(908) 234-9367
Mailing address
65 HIGHLAND AVENUE, PEAPACK, NJ 07977-0339
(908) 234-0011
(908) 234-9367
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4143001
—
NJ
Enumeration date
08/19/2015
Last updated
08/19/2015
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