Provider Demographics
NPI:1386196574
Name:PARAMUS ADULT TRAINING CENTER
Entity Type:Organization
Organization Name:PARAMUS ADULT TRAINING CENTER
Other - Org Name:DAY PROGRAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SCHOOL BUSINESS ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SUSINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-343-6000
Mailing Address - Street 1:540 N FARVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-4130
Mailing Address - Country:US
Mailing Address - Phone:201-343-6000
Mailing Address - Fax:201-996-6974
Practice Address - Street 1:296 E RIDGEWOOD AVE
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-4820
Practice Address - Country:US
Practice Address - Phone:201-343-6000
Practice Address - Fax:201-518-9218
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BERGEN COUNTY SPECIAL SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-11-04
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services