Organization
CAPITOL CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW LUTZ (PRESIDENT)
(973) 804-0325
Entity
Organization
Contact information
Practice address
100 RANDOLPH RD, SOMERSET, NJ 08873-1384
(732) 412-7628
Mailing address
185 ROUTE 183, STANHOPE, NJ 07874
(973) 426-1440
(973) 426-1641
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0294390
—
NJ
Enumeration date
07/09/2012
Last updated
07/09/2012
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