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Organization

CATHOLIC CHARITIES

Active
Other names
ST BAKHITA HOUSE
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINE BENITEZ (CFO)
(732) 857-3805
Entity
Organization

Contact information

Practice address
702 SAYRE AVE, PHILLIPSBURG, NJ 08865-3326
(908) 454-0912
Mailing address
319 MAPLE ST, PERTH AMBOY, NJ 08861-4101
(732) 857-3805
(732) 826-3627

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0241369
NJ
Enumeration date
03/02/2011
Last updated
03/02/2011
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