Organization
CEREBRAL PALSY OF NORTH JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALLISON TYLER LCSW (ICAN PROGRAM DIRECTOR)
(973) 763-9900
Entity
Organization
Contact information
Practice address
220 S ORANGE AVE, SUITE 300, LIVINGSTON, NJ 07039-5804
(973) 763-9900
(973) 488-6223
Mailing address
220 S ORANGE AVE, SUITE 300, LIVINGSTON, NJ 07039-5804
(973) 763-9900
(973) 488-6223
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
40QA01001600
NJ
Other
Enumeration date
10/31/2014
Last updated
08/29/2022
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