Provider Demographics
NPI:1235474164
Name:SKYLANDS CENTER OFFERING AUTISM PROGRAMS, INC.
Entity Type:Organization
Organization Name:SKYLANDS CENTER OFFERING AUTISM PROGRAMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:D'AMBROSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-850-6440
Mailing Address - Street 1:DOCTORS PARK, BLDG. 3, SEBER RD
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840
Mailing Address - Country:US
Mailing Address - Phone:908-850-6440
Mailing Address - Fax:908-850-3201
Practice Address - Street 1:117 SEBER RD
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-1722
Practice Address - Country:US
Practice Address - Phone:908-850-6440
Practice Address - Fax:908-850-3201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-04
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services