Organization
GOLD CHRIS ASSOCIATES, LLC
Active
Other names
GATEWAY DAY TREATMENT
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY I GOLDSTEIN J.D. - MBA (CHIEF EXECUTIVE OFFICER)
(732) 922-0591
Entity
Organization
Contact information
Practice address
1 CENTRE ST., OCEAN, NJ 07712
(732) 922-0591
(732) 922-0593
Mailing address
P.O. BOX 2136, 1 CENTRE STREET, OCEAN, NJ 07712
(732) 922-0591
(732) 922-0593
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
10129-02-05
NJ
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006378
—
NJ
Enumeration date
01/10/2007
Last updated
01/20/2011
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