Organization
EASTER SEALS NEW JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR SOBERAL (VP OF REVENUE)
(732) 955-8373
Entity
Organization
Contact information
Practice address
30 HOPEWELL AVE, FLEMINGTON, NJ 08822-1157
(732) 257-6662
(732) 257-7373
Mailing address
241 FORSGATE DRIVE, JAMESBURG, NJ 08831
(732) 257-6662
(732) 257-7373
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
40003-K40-00-41
NJ
320800000X
Mental Illness Community Based Residential Treatment Facility
40003-K40-01-40
NJ
320800000X
Mental Illness Community Based Residential Treatment Facility
40003-K40-03-40
NJ
320800000X
Mental Illness Community Based Residential Treatment Facility
40003-K40-04-40
NJ
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
40003-K40-05-40
NJ
320800000X
Mental Illness Community Based Residential Treatment Facility
40003-K40-06-40
NJ
Other
Enumeration date
04/04/2007
Last updated
08/29/2025
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