Provider Demographics
NPI:1851458566
Name:PARTNERSHIP FOR CHILDREN OF ESSEX
Entity Type:Organization
Organization Name:PARTNERSHIP FOR CHILDREN OF ESSEX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:973-323-3000
Mailing Address - Street 1:100 EXECUTIVE DR
Mailing Address - Street 2:SUITE 130
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-3371
Mailing Address - Country:US
Mailing Address - Phone:973-323-3000
Mailing Address - Fax:973-323-3015
Practice Address - Street 1:100 EXECUTIVE DR
Practice Address - Street 2:SUITE 130
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-3371
Practice Address - Country:US
Practice Address - Phone:973-323-3000
Practice Address - Fax:973-323-3015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJPC2802251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8458308Medicaid