Organization
CCS - PARTENERSHIP FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN DAUL (DIRECTOR)
(973) 596-4100
Entity
Organization
Contact information
Practice address
1160 RAYMOND BLVD, NEWARK, NJ 07102-4168
(973) 596-4103
Mailing address
1160 RAYMOND BLVD, NEWARK, NJ 07102-4168
(973) 596-4103
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0020591
—
NJ
Enumeration date
12/21/2006
Last updated
08/22/2020
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