Provider Demographics
NPI:1194197087
Name:THE ARC OF BERGEN AND PASSAIC COUNTIES, INC.
Entity Type:Organization
Organization Name:THE ARC OF BERGEN AND PASSAIC COUNTIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:WALSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-343-0322
Mailing Address - Street 1:8 PAUL KOHNER PL
Mailing Address - Street 2:
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07407-2614
Mailing Address - Country:US
Mailing Address - Phone:201-343-0322
Mailing Address - Fax:201-343-0401
Practice Address - Street 1:8 PAUL KOHNER PL
Practice Address - Street 2:
Practice Address - City:ELMWOOD PARK
Practice Address - State:NJ
Practice Address - Zip Code:07407-2614
Practice Address - Country:US
Practice Address - Phone:201-343-0322
Practice Address - Fax:201-343-0401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-30
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health