Organization
COMMUNITY ACTION FOR INDEPENDENT LIVING, INC.
Active
Other names
InterServ Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE DIFABIO (CONTROLLER)
(973) 564-7557
Entity
Organization
Contact information
Practice address
63 PRINCETON RD, ELIZABETH, NJ 07208-1340
(908) 351-4915
(908) 962-9445
Mailing address
1 CORNELL PKWY, SPRINGFIELD, NJ 07081-3561
(973) 564-7557
(973) 467-4255
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
GH1064
NJ
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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