Organization
IEP YOUTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON B GOLDMAN CPA (CHIEF FINANCIAL OFFICER)
(732) 431-2663
Entity
Organization
Contact information
Practice address
75 W MAIN ST, FREEHOLD, NJ 07728-2114
(732) 431-2663
(732) 409-3634
Mailing address
75 W MAIN ST, FREEHOLD, NJ 07728-2114
(732) 431-2663
(732) 409-3634
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
4140
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8864101
—
NJ
Enumeration date
03/07/2007
Last updated
08/22/2020
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