Organization
DAYTOP VILLAGE OF NEW JERSEY, INC.
Active
Organization
DAYTOP VILLAGE OF NEW JERSEY, INC.
Active
Other names
na
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN SCRAPE (DIRECTOR OF FINANCE & CONTROLLER)
(862) 260-9460
Entity
Organization
Contact information
Practice address
80 W MAIN ST, MENDHAM, NJ 07945-1230
(973) 543-5656
(973) 543-7502
Mailing address
PO BOX 310, MENDHAM, NJ 07945-1230
(862) 260-9460
(860) 260-9461
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
AS0002
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5161304
—
NJ
Enumeration date
03/01/2007
Last updated
09/14/2017
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