Organization
PROVIDENCE PLACE PCH
Active
Parent organization
CATHOLIC CHARITIES
Organization subpart
Yes
Provider details
NPI number
Legal business name
CATHOLIC CHARITIES
Authorized official
JOHN WESTERVELT (CEO)
(973) 596-4052
Entity
Organization
Contact information
Practice address
75 GREENVILLE AVE, JERSEY CITY, NJ 07305-2607
(973) 639-6678
Mailing address
590 N 7TH ST, NEWARK, NJ 07107-4553
(973) 639-6678
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/09/2012
Last updated
01/21/2026
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