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Organization

EASTER SEALS NEW JERSEY,INC

Active
Parent organization
EASTER SEALS NEW JERSEY, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
EASTER SEALS NEW JERSEY, INC
Authorized official
CHERYL MARKS YOUNG (CFO)
(732) 257-6662
Entity
Organization

Contact information

Practice address
25 KENNEDY BLVD STE 600, EAST BRUNSWICK, NJ 08816-1262
(732) 905-5324
(732) 257-7373
Mailing address
25 KENNEDY BLVD STE 600, EAST BRUNSWICK, NJ 08816-1262
(732) 905-5324
(732) 257-7373

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00041500
NJ
1041C0700X
Clinical Social Worker
Primary
44SC04936900
NJ

Other

Enumeration date
12/03/2013
Last updated
12/03/2013
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