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Organization

MATHENY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SEAN MURPHY (PRINCIPAL)
(908) 234-0011
Entity
Organization

Contact information

Practice address
65 HIGHLAND AVENUE, PEAPACK, NJ 07977
(908) 234-0011
Mailing address
65 HIGHLAND AVE., PEAPACK, NJ 07977

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
41YS00697600
NJ

Other

Enumeration date
07/31/2015
Last updated
07/31/2015
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