Organization
COMMUNITY MILESTONES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAMON K CEASER (CHIEF EXECUTIVE OFFICER)
(973) 273-4401
Entity
Organization
Contact information
Practice address
60 S FULLERTON AVE, SUITE 107, MONTCLAIR, NJ 07042-2632
(973) 273-4401
(973) 273-4406
Mailing address
PO BOX 2011, EAST ORANGE, NJ 07019-2011
(973) 273-4401
(973) 273-4406
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
05/18/2013
Last updated
05/18/2013
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