Organization
EASTER SEALS OF NEW JERSEY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN FITZGERALD (PRESIDENT)
(732) 257-6662
Entity
Organization
Contact information
Practice address
25 KENNEDY BLVD STE 600, EAST BRUNSWICK, NJ 08816-1262
(732) 257-6662
Mailing address
25 KENNEDY BLVD STE 600, EAST BRUNSWICK, NJ 08816-1262
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
40003-M40-00-41
NJ
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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