Organization
BETHESDA LUTHERAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA A BRINKMAN (AREA DIRECTOR)
(973) 831-4088
Entity
Organization
Contact information
Practice address
59 SHERWOOD RD, DUMONT, NJ 07628-1816
(201) 384-6948
Mailing address
220 HAMBURG TPKE, POMPTON LAKES, NJ 07442-1802
(973) 831-4088
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/11/2017
Last updated
03/17/2018
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