Organization
OUR SPECIAL PLACE, INC.
Active
Organization
OUR SPECIAL PLACE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN FITTIPALDI MS. BCBA (EDUCATIONAL DIRECTOR/VICE PRESIDENT)
(732) 765-8500
Entity
Organization
Contact information
Practice address
62 BROAD ST, MATAWAN, NJ 07747-2534
(732) 765-8500
Mailing address
62 BROAD ST, MATAWAN, NJ 07747-2534
(732) 765-8500
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0100983768
NJ
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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