Provider Demographics
NPI:1407381429
Name:SOMERSET HILLS LEARNING INSTITUTE, INC.
Entity Type:Organization
Organization Name:SOMERSET HILLS LEARNING INSTITUTE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BROTHERS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, BCBAD
Authorized Official - Phone:908-295-2198
Mailing Address - Street 1:1810 BURNT MILLS RD # 6400
Mailing Address - Street 2:
Mailing Address - City:BEDMINSTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07921-2672
Mailing Address - Country:US
Mailing Address - Phone:908-719-6400
Mailing Address - Fax:908-719-6401
Practice Address - Street 1:1830 BURNT MILLS RD
Practice Address - Street 2:
Practice Address - City:BEDMINSTER
Practice Address - State:NJ
Practice Address - Zip Code:07921
Practice Address - Country:US
Practice Address - Phone:908-719-6400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-27
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services