Provider Demographics
NPI:1235991027
Name:POLICE ATHLETIC LEAGUE OF PLAINFIELD NJ
Entity Type:Organization
Organization Name:POLICE ATHLETIC LEAGUE OF PLAINFIELD NJ
Other - Org Name:FAMILY AND COMMUNITY ENGAGEMENT CORP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:SR
Authorized Official - Credentials:BA
Authorized Official - Phone:908-397-1785
Mailing Address - Street 1:1366 MILTON PL
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07062-1348
Mailing Address - Country:US
Mailing Address - Phone:908-397-1785
Mailing Address - Fax:
Practice Address - Street 1:1733 E 2ND ST
Practice Address - Street 2:
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-1738
Practice Address - Country:US
Practice Address - Phone:908-397-1785
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-26
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No174H00000XOther Service ProvidersHealth Educator
No405300000XOther Service ProvidersPrevention Professional