Organization
COMMUNITY SUPPORTS NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TEDDY KENNETH MAYER (CHIEF EXECUTIVE OFFICER)
(201) 919-3211
Entity
Organization
Contact information
Practice address
170 CHANGEBRIDGE RD BLDG A42, MONTVILLE, NJ 07045-9112
(201) 919-3211
(908) 891-2288
Mailing address
49 PINE BROOK RD, TOWACO, NJ 07082-1463
(201) 919-3211
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
04/18/2017
Last updated
06/20/2024
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