Organization
WOMENRISING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSE E DAVIS (CHIEF OF STAFF)
(201) 333-5700
Entity
Organization
Contact information
Practice address
119 CLERK ST, JERSEY CITY, NJ 07305-4408
(201) 433-8231
(201) 433-6740
Mailing address
270 FAIRMOUNT AVE, JERSEY CITY, NJ 07306-4712
(201) 333-5700
(201) 333-9305
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
8372501
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8372501
PROVIDER NUMBER
NJ
Enumeration date
04/12/2007
Last updated
08/22/2020
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