Provider Demographics
NPI:1508154857
Name:CATHOLIC SOCIAL SERVICES OF MORRIS COUNTY, INC.
Entity Type:Organization
Organization Name:CATHOLIC SOCIAL SERVICES OF MORRIS COUNTY, INC.
Other - Org Name:HOPE HOUSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:SILBERNAGEL
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN
Authorized Official - Phone:973-361-5555
Mailing Address - Street 1:19-21 BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07801-4107
Mailing Address - Country:US
Mailing Address - Phone:973-361-5555
Mailing Address - Fax:973-361-7354
Practice Address - Street 1:19-21 BELMONT AVE
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NJ
Practice Address - Zip Code:07801-4107
Practice Address - Country:US
Practice Address - Phone:973-361-5555
Practice Address - Fax:973-361-7354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-20
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDAS #: 2000373251S00000X
NJDMHS #: 10118-01-04251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0034801Medicaid