Organization
SPECTRUM FOR LIVING DEVELOPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM G. MUILENBURG (CFO)
(201) 358-8000
Entity
Organization
Contact information
Practice address
343 HIGHWOOD AVE, GLEN ROCK, NJ 07452-1438
(201) 251-2466
Mailing address
210 RIVERVALE RD APT 3, RIVER VALE, NJ 07675-6281
(201) 358-8000
(201) 358-8089
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
HIGHWOOD GH646
NJ
Other
Enumeration date
07/01/2015
Last updated
02/28/2020
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