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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TIFFANY WARREN (PROGRAM DIRECTOR)
(862) 200-5848
Entity
Organization

Contact information

Practice address
6 N CORPORATE DR, RIVERDALE, NJ 07457-1715
(862) 200-5848
(862) 200-5976
Mailing address
6 N CORPORATE DR, RIVERDALE, NJ 07457-1715
(862) 200-5848
(862) 200-5976

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary

Other

Enumeration date
04/16/2013
Last updated
12/29/2015
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