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Organization

DEPARTMENT OF CHILDREN AND FAMILIES

Active
Other names
DYFS
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALFONSO F NICHOLAS (MANAGER)
(609) 633-6904
Entity
Organization

Contact information

Practice address
50 E STATE ST, TRENTON, NJ 08608-1715
(609) 292-9041
(609) 984-9615
Mailing address
PO BOX 717, TRENTON, NJ 08625-0717
(609) 292-9041
(609) 984-9615

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0042609
NJ
05
4506901
NJ
05
4507304
NJ
05
4507509
NJ
Enumeration date
01/22/2007
Last updated
04/22/2008
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