Organization
LADACIN NETWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA B CARLESIMO (EXECUTIVE DIRECTOR)
(732) 493-5900
Entity
Organization
Contact information
Practice address
1633 18TH AVENUE, WALL, NJ 07719
(732) 493-5900
(732) 493-5980
Mailing address
1703 KNEELEY BOULEVARD, WANAMASSA, NJ 07712
(732) 493-5900
(732) 493-5980
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
—
0474533
—
NJ
Enumeration date
11/08/2023
Last updated
11/08/2023
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