Organization
COLLABORATIVE RISING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN MARIE ROCK (OPERATIONS MANAGER)
(609) 850-9923
Entity
Organization
Contact information
Practice address
138-162 MARTIN LUTHER KING JR BLVD, NEWARK, NJ 07104-5369
(973) 931-5078
Mailing address
138-162 MARTIN LUTHER KING JR BLVD, NEWARK, NJ 07104-5369
(973) 931-5078
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/07/2023
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