Organization
STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL
Active
Other names
Woodbridge Developmental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL CROOKS M.D. (MEDICAL DIRECTOR)
(732) 499-5673
Entity
Organization
Contact information
Practice address
1275 RAHWAY AVENUE, AVENEL, NJ 07095-0189
(732) 499-5951
Mailing address
1275 RAHWAY AVENUE, P.O. BOX 189, AVENEL, NJ 07095-0189
(732) 499-5951
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/23/2006
Last updated
04/24/2008
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