Provider Demographics
NPI:1447618533
Name:THE CARPENTER'S WORKSHOP
Entity Type:Organization
Organization Name:THE CARPENTER'S WORKSHOP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:MR
Authorized Official - First Name:GAVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:STOBIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-692-7770
Mailing Address - Street 1:21 MAIN ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-1916
Mailing Address - Country:US
Mailing Address - Phone:973-692-7770
Mailing Address - Fax:
Practice Address - Street 1:21 MAIN ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-1916
Practice Address - Country:US
Practice Address - Phone:973-692-7770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-03
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health