Organization
SPECTRUM FOR LIVING DEVELOPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM G. MUILENBURG (CFO)
(201) 358-8000
Entity
Organization
Contact information
Practice address
81 RIVERVALE RD APT 4-3B, RIVER VALE, NJ 07675-6286
(201) 702-0904
Mailing address
210 RIVERVALE RD, RIVER VALE, NJ 07675-6281
(201) 358-8000
(201) 358-8089
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
SA416
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0536521
—
NJ
Enumeration date
07/13/2017
Last updated
02/28/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us