Organization · Type 2 NPI

Tri County Passaic Teen Center

Emotionally Disturbed Childrens' Residential Treatment Facility · Passaic, NJ

NPI number 1972715142 Active

Practice location

228 Hope Avenue
Passaic, NJ 07055

Fax (973) 470-8999

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1972715142

Tri County Passaic Teen Center's National Provider Identifier is 1972715142, issued on May 3, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Passaic, NJ. The record was last updated on Jul 10, 2008.