Provider Demographics
NPI:1750820452
Name:CALDWELL UNIVERSITY
Entity Type:Organization
Organization Name:CALDWELL UNIVERSITY
Other - Org Name:COUNSELING ART THERAPY COMMUNITY TREATMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:A
Authorized Official - Last Name:REEVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-618-3373
Mailing Address - Street 1:120 BLOOMFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-5310
Mailing Address - Country:US
Mailing Address - Phone:973-618-3373
Mailing Address - Fax:973-618-3943
Practice Address - Street 1:120 BLOOMFIELD AVE
Practice Address - Street 2:
Practice Address - City:CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-5310
Practice Address - Country:US
Practice Address - Phone:973-618-3373
Practice Address - Fax:973-618-3943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-15
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty