Organization
SOMERSET HOME FOR TEMPORARILY DISPLACED CHILDREN
Active
Other names
Passages
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY FETZKO (EXECUTIVE DIRECTOR)
(908) 526-6605
Entity
Organization
Contact information
Practice address
16 4TH AVE, BRIDGEWATER, NJ 08807-2004
(908) 526-6686
(908) 526-4242
Mailing address
49 BRAHMA AVE, P.O. BOX 6781, BRIDGEWATER, NJ 08807-2758
(908) 526-6605
(908) 526-4433
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
5070
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8374708
—
NJ
Enumeration date
04/04/2007
Last updated
08/22/2020
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