Organization
PRO-SPECTRUM AUTISM SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE CLAY (CEO)
(347) 446-4023
Entity
Organization
Contact information
Practice address
142 BROOKFIELD DR, JACKSON, NJ 08527-3857
(347) 446-4023
Mailing address
142 BROOKFIELD DR, JACKSON, NJ 08527-3857
(347) 446-4023
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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