Organization
SPECTRUM FOR LIVING DEVELOPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM G. MUILENBURG (CFO)
(201) 358-8000
Entity
Organization
Contact information
Practice address
33 PIERMONT RD APT 5, ROCKLEIGH, NJ 07647-2713
(201) 750-2763
Mailing address
210 RIVERVALE RD APT 3, RIVER VALE, NJ 07675-6281
(201) 358-8000
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0536521
—
NJ
Enumeration date
07/13/2017
Last updated
02/28/2020
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