Provider Demographics
NPI:1710307145
Name:THE CHILDREN'S INSTITUTE
Entity Type:Organization
Organization Name:THE CHILDREN'S INSTITUTE
Other - Org Name:THE CENTER FOR INDEPENDENCE
Other - Org Type:Other Name
Authorized Official - Title/Position:BUISNESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEANINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:973-509-3050
Mailing Address - Street 1:1 SUNSET AVE
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:NJ
Mailing Address - Zip Code:07044-5118
Mailing Address - Country:US
Mailing Address - Phone:973-509-3050
Mailing Address - Fax:973-509-0183
Practice Address - Street 1:6 REGENT ST
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-1636
Practice Address - Country:US
Practice Address - Phone:973-509-3050
Practice Address - Fax:973-509-0183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-24
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ221500528A251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services