Organization
DAYTOP VILLAGE OF NJ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN SCRAPE (DIRECTOR OF FINANCE & CONTROLLER)
(862) 260-9460
Entity
Organization
Contact information
Practice address
9 HARDING HWY, PITTSGROVE, NJ 08318-4401
(856) 358-4111
Mailing address
PO BOX 310, MENDHAM, NJ 07945-1230
(862) 260-9460
(862) 260-9461
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
AS0003-1
NJ
3245S0500X
Children's Substance Abuse Rehabilitation Facility
AS0003-2
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0438511
—
NJ
01
—
348902
VALUE OPTIONS
—
Enumeration date
08/24/2006
Last updated
09/15/2017
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