Organization
MONTCLAIR STATE UNIVERSITY
Active
Parent organization
MONTCLAIR STATE UNIVERSITY
Other names
Center for Autism and Early Childhood Mental Health, Montclair State University
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONTCLAIR STATE UNIVERSITY
Authorized official
MS. DONNA MCMONAGLE (VICE PRESIDENT FOR FINANCE AND TREA)
(973) 655-5105
Entity
Organization
Contact information
Practice address
MONTCLAIR STATE UNIVERSITY, 14 NORMAL AVE., MONTCLAIR, NJ 07043-1624
(973) 655-6685
(973) 655-5376
Mailing address
MONTCLAIR STATE UNIVERSITY, 1 NORMAL AVE., MONTCLAIR, NJ 07043-1624
(973) 655-6685
(973) 655-5376
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
37PC00440900
NJ
Other
Enumeration date
05/22/2012
Last updated
06/11/2020
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