Organization
THE ROSE HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS MICHAEL MITCHELL (EXECUTIVE DIRECTOR)
(973) 984-0006
Entity
Organization
Contact information
Practice address
290 CEDAR KNOLLS RD APT 1A, CEDAR KNOLLS, NJ 07927-1603
(973) 984-0006
(973) 998-0002
Mailing address
PO BOX 544, CEDAR KNOLLS, NJ 07927-0544
(973) 984-0006
(973) 998-0002
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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