Organization
NEW JERSEY COMMUNITY DEVELOPMENT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT COLLINS (AUTHORIZED OFFICIAL)
(973) 413-1609
Entity
Organization
Contact information
Practice address
35 MCKINLEY AVE APT 2H, HAWTHORNE, NJ 07506-2547
(973) 413-1600
Mailing address
PO BOX 6976, PATERSON, NJ 07509-6976
(973) 413-1600
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/24/2019
Last updated
05/03/2023
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