Organization
INSTITUTE FOR BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMON K CEASER (CEO)
(888) 604-2433
Entity
Organization
Contact information
Practice address
1980 SPRINGFIELD AVE, 4L, MAPLEWOOD, NJ 07040-3440
(888) 604-2433
(862) 930-4862
Mailing address
400 BROADACRES DR STE 260, BLOOMFIELD, NJ 07003-3156
(888) 604-2433
(862) 930-4862
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0490270
—
NJ
Enumeration date
02/17/2016
Last updated
11/01/2017
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