Provider Demographics
NPI:1275747818
Name:SENSAGRATION WHOLE CHILD CENTER, LLC
Entity Type:Organization
Organization Name:SENSAGRATION WHOLE CHILD CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPY
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:LAINE
Authorized Official - Last Name:DEMARIA
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:908-479-1000
Mailing Address - Street 1:75 NORTH ST
Mailing Address - Street 2:SUITE 11
Mailing Address - City:BLOOMSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08804-3055
Mailing Address - Country:US
Mailing Address - Phone:908-479-1000
Mailing Address - Fax:908-847-0389
Practice Address - Street 1:75 NORTH ST
Practice Address - Street 2:SUITE 11
Practice Address - City:BLOOMSBURY
Practice Address - State:NJ
Practice Address - Zip Code:08804-3055
Practice Address - Country:US
Practice Address - Phone:908-479-1000
Practice Address - Fax:908-847-0389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center