Provider Demographics
NPI:1154813392
Name:THERAPEUTIC LEARNING CENTER
Entity Type:Organization
Organization Name:THERAPEUTIC LEARNING CENTER
Other - Org Name:GARFIELD PARK ACADEMY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:MORSE
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:609-877-4111
Mailing Address - Street 1:24 GLENOLDEN LN
Mailing Address - Street 2:
Mailing Address - City:WILLINGBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08046-3212
Mailing Address - Country:US
Mailing Address - Phone:609-877-4111
Mailing Address - Fax:609-877-5551
Practice Address - Street 1:24 GLENOLDEN LN
Practice Address - Street 2:
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-3212
Practice Address - Country:US
Practice Address - Phone:609-877-4111
Practice Address - Fax:609-877-5551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-04
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health