Organization
VOLUNTEERS OF AMERICA-GNY
Active
Other names
Volunteers of America-NIA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT EDES (BUSINESS MANAGER)
(732) 827-2474
Entity
Organization
Contact information
Practice address
279 RIFLE CAMP RD, WEST PATERSON, NJ 07424-3363
(732) 827-2474
Mailing address
205 W MILTON AVE, RAHWAY, NJ 07065-3203
(732) 827-2474
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
3320
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8901708
—
NJ
Enumeration date
03/12/2007
Last updated
03/06/2015
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