Organization
OUR HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE DELCORSANO PHR (PRESIDENT/CEO)
(908) 464-8008
Entity
Organization
Contact information
Practice address
120 FINDERNE AVE, BRIDGEWATER, NJ 08807-3670
(908) 464-8008
Mailing address
76 FLORAL AVE, NEW PROVIDENCE, NJ 07974-1511
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0479179
—
NJ
Enumeration date
08/03/2017
Last updated
01/24/2022
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