Organization
STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL
Active
Other names
Hunterdon Developmental Center
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA A CLOUGH (BUSINESS MANAGER)
(908) 730-1301
Entity
Organization
Contact information
Practice address
40 PITTSTOWN RD, CLINTON, NJ 08809-1209
(908) 730-1301
(908) 730-1339
Mailing address
40 PITTSTOWN ROAD, P.O. BOX 4003, CLINTON, NJ 08864
(908) 730-1301
(908) 730-1339
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
320600000X
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4482506
—
NJ
01
—
528586
MEDICARE BILLING GROUP
—
Enumeration date
06/15/2006
Last updated
02/16/2024
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