Provider Demographics
NPI:1467985978
Name:CAMP ACORN, INC.
Entity Type:Organization
Organization Name:CAMP ACORN, INC.
Other - Org Name:CAMP ACORN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:CARISI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-785-1101
Mailing Address - Street 1:PO BOX 1383
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07653-1383
Mailing Address - Country:US
Mailing Address - Phone:201-785-1101
Mailing Address - Fax:201-785-1106
Practice Address - Street 1:10 LEIGHTON PL
Practice Address - Street 2:
Practice Address - City:MAHWAH
Practice Address - State:NJ
Practice Address - Zip Code:07430-3119
Practice Address - Country:US
Practice Address - Phone:201-785-1101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-11
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0483885Medicaid