Provider Demographics
NPI:1255676698
Name:PRIME TIME CENTER INC
Entity Type:Organization
Organization Name:PRIME TIME CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXEC. DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:H
Authorized Official - Last Name:REINHARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-258-5271
Mailing Address - Street 1:51 JAMES WAY
Mailing Address - Street 2:
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-2035
Mailing Address - Country:US
Mailing Address - Phone:888-258-5271
Mailing Address - Fax:
Practice Address - Street 1:51 JAMES WAY
Practice Address - Street 2:
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-2035
Practice Address - Country:US
Practice Address - Phone:888-258-5271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-11
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services