Organization
TRIPLE C HOUSING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLIE STIVALE (EXECUTIVE DIRECTOR)
(732) 297-5840
Entity
Organization
Contact information
Practice address
1520 ROUTE 130 STE 201, NORTH BRUNSWICK, NJ 08902-3145
(732) 658-6636
(732) 658-6642
Mailing address
1520 ROUTE 130 STE 201, NORTH BRUNSWICK, NJ 08902-3145
(732) 658-6636
(732) 658-6642
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
20108M080240
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085707
—
NJ
Enumeration date
12/12/2006
Last updated
03/21/2022
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