Organization
METRO EAST COMMUNITY CARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRELL PETER SHOULARS M.A., M.A. (EXECUTIVE DIRECTOR/CEO)
(609) 837-3147
Entity
Organization
Contact information
Practice address
59 MAIN ST STE 206B, WEST ORANGE, NJ 07052-5333
(609) 837-3147
(973) 273-4333
Mailing address
59 MAIN ST STE 206B, WEST ORANGE, NJ 07052-5333
(609) 837-3147
(973) 273-4333
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
08/30/2019
Last updated
02/21/2020
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