Organization
CEREBRAL PALSY OF NORTH JERSEY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK BORNSTEIN (CFO)
(973) 821-8107
Entity
Organization
Contact information
Practice address
220 S ORANGE AVE, SUITE 300, LIVINGSTON, NJ 07039-5804
(973) 763-9900
(973) 763-9905
Mailing address
220 S ORANGE AVE, SUITE 300, LIVINGSTON, NJ 07039-5804
(973) 763-9900
(973) 763-9905
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
GH1828
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0427977
—
NJ
Enumeration date
01/22/2015
Last updated
08/02/2017
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