Organization
CROSS COUNTER, INC
Active
Other names
St. Timothy's Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY KNAUER (CEO)
(973) 621-2273
Entity
Organization
Contact information
Practice address
399 HEYWOOD AVE, ORANGE, NJ 07050-2006
(973) 673-4562
(973) 673-3238
Mailing address
25 JAMES ST, NEWARK, NJ 07102-2001
(973) 621-2273
(973) 621-0047
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8488509
—
NJ
Enumeration date
12/10/2007
Last updated
12/10/2007
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