Organization
THE ARC, WARREN COUNTY CHAPTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ALEXANDER PRUZNICK (CEO)
(908) 689-7525
Entity
Organization
Contact information
Practice address
34 BUSH ST, OXFORD, NJ 07863-3002
(908) 453-3019
(908) 453-3159
Mailing address
319 W WASHINGTON AVE, WASHINGTON, NJ 07882-2157
(908) 689-7525
(908) 689-4898
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
GH604
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710229778
—
NJ
Enumeration date
09/15/2017
Last updated
09/15/2017
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