Provider Demographics
NPI:1164075362
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:ASSISTANT EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LUCKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-315-0070
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:973-315-0020
Practice Address - Street 1:720 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:KENILWORTH
Practice Address - State:NJ
Practice Address - Zip Code:07033-2021
Practice Address - Country:US
Practice Address - Phone:973-315-0000
Practice Address - Fax:973-315-0013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-17
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services