Provider Demographics
NPI:1851474647
Name:ANN KLEIN FORENSIC CENTER
Entity Type:Organization
Organization Name:ANN KLEIN FORENSIC CENTER
Other - Org Name:NEW JERSEY DEPARTMENT OF HUMAN SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-633-0905
Mailing Address - Street 1:1609 STUYVESANT AVE.
Mailing Address - Street 2:BOX 7717
Mailing Address - City:WEST TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08628
Mailing Address - Country:US
Mailing Address - Phone:609-633-0900
Mailing Address - Fax:609-943-4565
Practice Address - Street 1:1609 STUYVESANT AVE.
Practice Address - Street 2:BOX 7717
Practice Address - City:WEST TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08628
Practice Address - Country:US
Practice Address - Phone:609-633-0900
Practice Address - Fax:609-943-4565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital