Organization
INSPIRING COMMUNITY SUPPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER MOMANYI (EXCUTIVE)
(908) 405-1979
Entity
Organization
Contact information
Practice address
324 BOUND BROOK RD, MIDDLESEX, NJ 08846-2267
(908) 405-1979
Mailing address
191 NORTH AVE # 229, DUNELLEN, NJ 08812-1277
(908) 405-1979
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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