Organization
CEREBRAL PALSY OF NORTH JERSEY
Active
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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