Provider Demographics
NPI:1164192431
Name:FORDHAM-LEWIS CONSULTING, LLC
Entity Type:Organization
Organization Name:FORDHAM-LEWIS CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:FORDHAM-LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-684-3841
Mailing Address - Street 1:613 HOPE RD
Mailing Address - Street 2:
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-1278
Mailing Address - Country:US
Mailing Address - Phone:732-232-4150
Mailing Address - Fax:
Practice Address - Street 1:7 INDEPENDENCE WAY APT 303
Practice Address - Street 2:
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-1109
Practice Address - Country:US
Practice Address - Phone:732-684-3841
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-17
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities