Organization
VANTAGE HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GRIFFITH (CEO)
(201) 385-4400
Entity
Organization
Contact information
Practice address
2 PARK AVE, DUMONT, NJ 07628-3004
(201) 385-4400
(201) 384-7067
Mailing address
2 PARK AVE, DUMONT, NJ 07628-3004
(201) 385-4400
(201) 384-7067
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084808
—
NJ
Enumeration date
03/16/2007
Last updated
09/11/2019
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