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Organization

THE OPEN DOOR OF NEW JERSEY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE HALL (DIRECTOR OF SERVICES)
(732) 408-5681
Entity
Organization

Contact information

Practice address
175 CHAMBERS BRIDGE RD APT 240, BRICK, NJ 08723-3505
(732) 408-5681
Mailing address
1658 LAKEWOOD RD STE 12, TOMS RIVER, NJ 08755-1280
(732) 408-5681

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0477389
NJ
Enumeration date
07/25/2019
Last updated
04/29/2021
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