Provider Demographics
NPI:1396011797
Name:THE ARC OF ESSEX COUNTY INC.
Entity Type:Organization
Organization Name:THE ARC OF ESSEX COUNTY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:CANCRO
Authorized Official - Last Name:LUCAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-535-1181
Mailing Address - Street 1:123 NAYLON AVE
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-1005
Mailing Address - Country:US
Mailing Address - Phone:973-535-1181
Mailing Address - Fax:973-422-0359
Practice Address - Street 1:123 NAYLON AVE
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-1005
Practice Address - Country:US
Practice Address - Phone:973-535-1181
Practice Address - Fax:973-422-0359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-29
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency