Organization
THE SCALP PROGRAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHE ROSENBERG (CEO)
(973) 678-5500
Entity
Organization
Contact information
Practice address
413 W SCHOOL HOUSE LN, PHILADELPHIA, PA 19144-4505
(973) 678-5500
Mailing address
576 CENTRAL AVE STE 301, EAST ORANGE, NJ 07018-1943
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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