Organization
DAYTOP VILLAGE OF NEW JERSEY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN SCRAPE (DIRECTOR OF FINANCE & CONTROLLER)
(862) 260-9460
Entity
Organization
Contact information
Practice address
399 N MAIN ST, MANAHAWKIN, NJ 08050-3069
(732) 875-1090
(732) 875-1091
Mailing address
PO BOX 310, MENDHAM, NJ 07945-1257
(862) 260-9460
(862) 260-9461
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
2000589
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0480711
—
NJ
Enumeration date
05/13/2015
Last updated
09/14/2017
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