Organization
DISABLED, INFORMATION, AWARENESS & LIVING, INC.
Active
Other names
DIAL- Center for Independent Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN PETIX JR. M.ED. (EXECUTIVE DIRECTOR)
(973) 470-8090
Entity
Organization
Contact information
Practice address
2 PROSPECT VILLAGE PLZ, FLOOR 1, CLIFTON, NJ 07013-1952
(973) 470-8090
(973) 470-8171
Mailing address
2 PROSPECT VILLAGE PLZ, FLOOR 1, CLIFTON, NJ 07013-1952
(973) 470-8090
(973) 470-8171
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NJ
251X00000X
Supports Brokerage Agency
—
NJ
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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