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Organization

MIDLAND ADULT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SHAWN MICHAEL MCINERNEY MSM (PRESIDENT/CEO)
(908) 722-8222
Entity
Organization

Contact information

Practice address
890 OLD YORK RD, BRANCHBURG, NJ 08876-3836
(908) 371-0673
(908) 371-0937
Mailing address
94 READINGTON ROAD, PO BOX 5026, NORTH BRANCH, NJ 08876
(908) 722-8222
(908) 722-3134

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
08/03/2017
Last updated
08/03/2017
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