Organization
MIDLAND ADULT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN MICHAEL MCINERNEY MSM (PRESIDENT/CEO)
(908) 722-8222
Entity
Organization
Contact information
Practice address
1 GATEWAY BOULEVARD, APT 107, HILLSBOROUGH, NJ 08844
(908) 308-8154
Mailing address
94 READINGTON ROAD PO BOX5026, BRANCHBURG, NJ 08876
(908) 722-8222
(908) 722-3134
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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