Organization
REFOCUS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE GOODMAN EMMERICH (CEO)
(732) 343-1478
Entity
Organization
Contact information
Practice address
94 RAMAPO VALLEY ROAD, MAHWAH, NJ 07430
(732) 343-1478
Mailing address
PO BOX 7229, FREEHOLD, NJ 07728-7229
(732) 343-1478
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0642690
—
NJ
Enumeration date
04/24/2019
Last updated
04/24/2019
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