Organization · Type 2 NPI

Department of Special Education of the Roman Catholic Diocese of Pater

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

NPI number 1821478850 Active

Practice location

215 Mountain Avenue
Pompton Lakes, NJ 07442

Call (973) 406-1100 Map

Fax (973) 697-9603

Mailing address

PO Box 2539
Oak Ridge, NJ 07438

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	GH832 (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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NPI record

NPI: 1821478850
Entity type: Organization (Type 2)
Issued: Jun 4, 2015
Last updated: Jun 4, 2015
Status: Active

Other names

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Department for Persons With Disabilities, Diocese of Paterson · doing business as

Authorized official

Mr. Scott Patrick Milliken, MPA
Executive Director
(973) 406-1106

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About NPI 1821478850

Department of Special Education of the Roman Catholic Diocese of Pater's National Provider Identifier is 1821478850, issued on Jun 4, 2015. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Pompton Lakes, NJ. The record was last updated on Jun 4, 2015.