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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