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Organization

JESPY HOUSE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MITCHELL ROTTENSTREICH (DIRECTOR OF OPERATIONS)
(973) 762-2715
Entity
Organization

Contact information

Practice address
2168 MILLBURN AVE STE 206, MAPLEWOOD, NJ 07040-2640
(973) 762-6909
Mailing address
102 PROSPECT ST, SOUTH ORANGE, NJ 07079-2112
(973) 762-2715

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
04/24/2023
Last updated
07/22/2024
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