Organization
VOLUNTEERS OF AMERICA
Active
Other names
Volunteers of America-Theodora House
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ORIETTA BREWER (EXECUTIVE ASSISTANT CEO)
(212) 496-4303
Entity
Organization
Contact information
Practice address
204 TERRILL RD, FANWOOD, NJ 07023-1025
(732) 827-2444
Mailing address
205 W MILTON AVE, RAHWAY, NJ 07065-3203
(732) 827-2444
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
20001M110440
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6194702
—
NJ
Enumeration date
03/27/2007
Last updated
11/14/2018
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