Organization
THE CLUB OF BERGEN COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GENDY RN (MANAGER)
(201) 234-9105
Entity
Organization
Contact information
Practice address
22-08 ROUTE 208 STE 8, FAIR LAWN, NJ 07410-2609
(201) 773-9090
Mailing address
22-08 ROUTE 208 STE 8, FAIR LAWN, NJ 07410-2609
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/08/2023
Last updated
09/12/2024
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