Organization
REFOCUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE GOODMAN EMMERICH M.ED., M.S. (CEO)
(732) 343-1478
Entity
Organization
Contact information
Practice address
613 HOPE ROAD, BUILDING 5 AND 2, EATONTOWN, NJ 07724
(732) 343-1478
Mailing address
613 HOPE RD, EATONTOWN, NJ 07724-1278
(732) 343-1478
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
—
0642690
—
NJ
Enumeration date
04/02/2019
Last updated
04/02/2019
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