Organization
SPECTRUM FOR LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARYANN DIOMEDE (DIRECTOR OF FINANCE)
(201) 358-8083
Entity
Organization
Contact information
Practice address
50 BLANCH AVE, CLOSTER, NJ 07624-1228
(201) 784-9400
(201) 784-8177
Mailing address
210 RIVERVALE RD, SUITE 3, RIVERVALE, NJ 07675-6281
(201) 358-8083
(201) 358-1823
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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