Organization
PRIMETIME CENTER 2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MOCK (DIRECTOR)
(888) 258-5271
Entity
Organization
Contact information
Practice address
485 BRICK BLVD, BRICK, NJ 08723-6055
(888) 258-5271
Mailing address
485 BRICK BLVD, BRICK, NJ 08723-6055
(888) 258-5271
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/20/2016
Last updated
01/24/2018
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