Organization
STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL
Active
Other names
Green Brook Developmental Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO BRINDISI (CHEIF EXECUTIVE OFFICE)
(732) 968-2004
Entity
Organization
Contact information
Practice address
275 GREENBROOK RD, GREEN BROOK, NJ 08812-2223
(732) 968-6000
(732) 968-0373
Mailing address
275 GREENBROOK RD, GREEN BROOK, NJ 08812-2223
(732) 968-6000
(732) 968-0373
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
31-G009
NJ
Other
Enumeration date
03/17/2015
Last updated
05/23/2016
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