Provider Demographics
NPI:1609514777
Name:DEPARTMENT OF SPECIAL EDUCATION OF THE ROMAN CATHOLIC DIOCESE OF PATER
Entity Type:Organization
Organization Name:DEPARTMENT OF SPECIAL EDUCATION OF THE ROMAN CATHOLIC DIOCESE OF PATER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLIKEN
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:201-303-6341
Mailing Address - Street 1:PO BOX 2539
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07438-2539
Mailing Address - Country:US
Mailing Address - Phone:973-406-1100
Mailing Address - Fax:973-697-9603
Practice Address - Street 1:1214 BRITTANY DR
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-8504
Practice Address - Country:US
Practice Address - Phone:973-409-2767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CATHOLIC CHARITIES, DIOCESE OF PATERSON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-05-26
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities