Organization
PASSAIC COUNTY ELKS CEREBRAL PALSY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM G WEISS ED.D. (EXECUTIVE DIRECTOR)
(973) 772-2600
Entity
Organization
Contact information
Practice address
1481 MAIN AVE, CLIFTON, NJ 07011-2127
(973) 772-2600
(973) 772-5171
Mailing address
1481 MAIN AVE, CLIFTON, NJ 07011-2127
(973) 772-2600
(973) 772-5171
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
081670
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3752704-01
—
NJ
Enumeration date
05/23/2011
Last updated
05/23/2011
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