Provider Demographics
NPI:1639411515
Name:SOMERSET COMMUNITY ACTION PROGRAM, INC.
Entity Type:Organization
Organization Name:SOMERSET COMMUNITY ACTION PROGRAM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FREDA
Authorized Official - Middle Name:
Authorized Official - Last Name:OFORI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-846-8888
Mailing Address - Street 1:900 HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-3107
Mailing Address - Country:US
Mailing Address - Phone:732-846-8888
Mailing Address - Fax:732-246-7257
Practice Address - Street 1:900 HAMILTON ST
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-3107
Practice Address - Country:US
Practice Address - Phone:732-846-8888
Practice Address - Fax:732-246-7257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-19
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ18SOM0018251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)