Organization
IRONBOUND COMMUNITY CORPORATION
Active
Organization
IRONBOUND COMMUNITY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH DELLA FAVE (EXECUTIVE DIRECTOR)
(973) 589-3353
Entity
Organization
Contact information
Practice address
179 VAN BUREN ST, NEWARK, NJ 07105-2601
(973) 589-3353
(973) 589-3637
Mailing address
179 VAN BUREN ST, NEWARK, NJ 07105-2601
(973) 589-3353
(973) 589-3637
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0062278
—
NJ
Enumeration date
05/24/2007
Last updated
08/22/2020
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