Organization
DEVELOPMENTAL DISABILITIES HEALTH PARTNERS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN K WALSH PH.D. (PRESIDENT)
(856) 697-7490
Entity
Organization
Contact information
Practice address
1285 BROAD ST, BLOOMFIELD, NJ 07003-3045
(973) 338-4200
(973) 338-4440
Mailing address
1285 BROAD ST, BLOOMFIELD, NJ 07003-3045
(973) 338-4200
(973) 338-4440
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0231410
—
NJ
Enumeration date
10/11/2012
Last updated
09/17/2014
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