Provider Demographics
NPI:1023208956
Name:NORTHWEST NEW JERSEY COMMUNITY ACTION PROGRAM
Entity Type:Organization
Organization Name:NORTHWEST NEW JERSEY COMMUNITY ACTION PROGRAM
Other - Org Name:NORWESCAP, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWHARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-454-7000
Mailing Address - Street 1:459 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:PHILLIPSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08865-2665
Mailing Address - Country:US
Mailing Address - Phone:908-213-2674
Mailing Address - Fax:908-213-2821
Practice Address - Street 1:459 CENTER ST
Practice Address - Street 2:
Practice Address - City:PHILLIPSBURG
Practice Address - State:NJ
Practice Address - Zip Code:08865-2665
Practice Address - Country:US
Practice Address - Phone:908-213-2674
Practice Address - Fax:908-213-2821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0025488OtherUNISYS BEHAVIORAL ASSISTA