Organization
ST. PETER'S ORPHANAGE, INC.
Active
Other names
St. Peter's Village
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE SQUEO (ADMINISTRATIVE ASSISTANT)
(973) 627-0212
Entity
Organization
Contact information
Practice address
170 DIAMOND SPRING RD, DENVILLE, NJ 07834-2910
(973) 627-0212
Mailing address
170 DIAMOND SPRING RD, DENVILLE, NJ 07834-2910
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
1620
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8385106
—
NJ
Enumeration date
12/28/2006
Last updated
08/22/2020
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