Organization
TRI COUNTY PASSAIC TEEN CENTER
Active
Other names
Tri-County Youth Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RASHEED I GILES B.A., MSW (DIRCTOR)
(973) 473-5755
Entity
Organization
Contact information
Practice address
228 HOPE AVENUE, PASSAIC, NJ 07055
(973) 473-5755
(973) 470-8999
Mailing address
228 HOPE AVENUE, PASSAIC, NJ 07055
(973) 473-5755
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8373507
—
NJ
Enumeration date
05/03/2007
Last updated
07/10/2008
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