Organization
NJ ECC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN L WILLIS MSW, LSW (CEO)
(201) 819-9061
Entity
Organization
Contact information
Practice address
31 CHAMBERLAIN AVE, LITTLE FERRY, NJ 07643-1851
(551) 217-2828
Mailing address
31 CHAMBERLAIN AVE, LITTLE FERRY, NJ 07643-1851
(201) 819-9061
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2018
Last updated
05/15/2023
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