Organization
AVIDD COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRENCE MCKEON (EXECUTIVE DIRECTOR)
(973) 886-1953
Entity
Organization
Contact information
Practice address
74 VILLAGE GRN APT 26G, BUDD LAKE, NJ 07828-1379
(973) 664-1770
Mailing address
92 BROADWAY STE 101, DENVILLE, NJ 07834-2733
(973) 664-1770
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0530549
—
NJ
Enumeration date
04/29/2020
Last updated
04/29/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up