Provider Demographics
NPI:1104200096
Name:THE ARC OF UNION COUNTY
Entity Type:Organization
Organization Name:THE ARC OF UNION COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:CARAGHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-315-0000
Mailing Address - Street 1:70 DIAMOND RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07081-3119
Mailing Address - Country:US
Mailing Address - Phone:973-315-0000
Mailing Address - Fax:973-315-0002
Practice Address - Street 1:43 BALTUSROL WAY
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-1503
Practice Address - Country:US
Practice Address - Phone:973-315-0000
Practice Address - Fax:973-315-0002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-10
Last Update Date:2015-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJGH899320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJGH899Medicaid