Provider Demographics
NPI:1073062436
Name:THE JEWISH COMMUNITY CENTER OF SOMERSET, HUNTERDON & WARREN COUNTIES
Entity Type:Organization
Organization Name:THE JEWISH COMMUNITY CENTER OF SOMERSET, HUNTERDON & WARREN COUNTIES
Other - Org Name:SHIMON AND SARA BIRNBAUM JEWISH COMMUNITY CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-725-6994
Mailing Address - Street 1:775 TALAMINI RD
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-1739
Mailing Address - Country:US
Mailing Address - Phone:908-725-6994
Mailing Address - Fax:908-725-9753
Practice Address - Street 1:775 TALAMINI RD
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-1739
Practice Address - Country:US
Practice Address - Phone:908-725-6994
Practice Address - Fax:908-725-9753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-27
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services