Provider Demographics
NPI:1376918706
Name:HOMETOWN OPPORTUNITIES FOR THE MENTALLY HANDICAPPED
Entity Type:Organization
Organization Name:HOMETOWN OPPORTUNITIES FOR THE MENTALLY HANDICAPPED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:DENNIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-209-3902
Mailing Address - Street 1:95 BALSAM RD
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08048-4803
Mailing Address - Country:US
Mailing Address - Phone:609-209-3902
Mailing Address - Fax:856-235-1291
Practice Address - Street 1:95 BALSAM RD
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048-4803
Practice Address - Country:US
Practice Address - Phone:609-209-3902
Practice Address - Fax:856-235-1291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-10
Last Update Date:2015-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services