Organization
JEWISH ASSOCIATION FOR DEVELOPMENTAL DISABILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINER (EXECUTIVE DIRECTOR)
(201) 457-0058
Entity
Organization
Contact information
Practice address
310 MANOR RD, ENGLEWOOD, NJ 07631-1536
(201) 569-4235
Mailing address
50 EISENHOWER DR STE 202, PARAMUS, NJ 07652-1438
(201) 457-0058
(201) 457-0025
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
GH2096
NJ
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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Other
Enumeration date
05/03/2017
Last updated
07/21/2022
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