Provider Demographics
NPI:1003153545
Name:JERSEY CAPE DIAGNOSTIC TRAINING & OPPORTUNITY CENTER INC
Entity Type:Organization
Organization Name:JERSEY CAPE DIAGNOSTIC TRAINING & OPPORTUNITY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:N
Authorized Official - Last Name:NIXON
Authorized Official - Suffix:
Authorized Official - Credentials:CPA MBA
Authorized Official - Phone:609-465-4117
Mailing Address - Street 1:4 MOORE RD
Mailing Address - Street 2:DN606
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-1654
Mailing Address - Country:US
Mailing Address - Phone:609-465-4117
Mailing Address - Fax:609-465-3899
Practice Address - Street 1:152 CREST HAVEN RD
Practice Address - Street 2:
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-1651
Practice Address - Country:US
Practice Address - Phone:609-465-4117
Practice Address - Fax:609-465-3899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-03
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ03ES13S251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services