Organization
NEW JERSEY INSTITUTE FOR DISABILITIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT FERRARA (EXECUTIVE DIRECTOR)
(732) 549-6187
Entity
Organization
Contact information
Practice address
14 EDGEMOUNT RD, EDISON, NJ 08817-2904
(732) 549-6187
(732) 590-2431
Mailing address
10A OAK DRIVE, ROOSEVELT PARK, EDISON, NJ 08837-2313
(732) 549-6187
(732) 590-2431
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
—
0463477
—
NJ
Enumeration date
09/24/2018
Last updated
09/25/2018
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