Organization
CHILDREN'S SPECIALIZED HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGHAN LAUBE (SPEECH LANGAUAGE PATHOLOGIST)
(908) 233-3720
Entity
Organization
Contact information
Practice address
150 NEW PROVIDENCE RD, MOUNTAINSIDE, NJ 07092-2590
(908) 233-3720
Mailing address
150 NEW PROVIDENCE RD, MOUNTAINSIDE, NJ 07092-2590
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
41YS00662000
NJ
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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