Organization · Type 2 NPI

Community Action for Independent Living, Inc.

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Newark, NJ

NPI number 1366823619 Active

Practice location

504-506 Mt. Prospect Ave
Newark, NJ 07108

Call (973) 482-4490 Map

Fax (973) 230-9438

Mailing address

1 Cornell Pkwy
Springfield, NJ 07081-3561

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XGH1119 (NJ)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1366823619

Community Action for Independent Living, Inc.'s National Provider Identifier is 1366823619, issued on Jun 12, 2015. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Newark, NJ. The record was last updated on Jun 12, 2015.