Provider Demographics
NPI:1851935779
Name:DEVELOPMENTAL DISABILITIES ASSOCIATION NJ INC.
Entity Type:Organization
Organization Name:DEVELOPMENTAL DISABILITIES ASSOCIATION NJ INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ADULT PROGRAM SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:ABBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-636-6710
Mailing Address - Street 1:814 BOWER ST
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07036-2539
Mailing Address - Country:US
Mailing Address - Phone:908-587-2288
Mailing Address - Fax:908-587-2289
Practice Address - Street 1:814 BOWER ST
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:NJ
Practice Address - Zip Code:07036-2539
Practice Address - Country:US
Practice Address - Phone:908-587-2288
Practice Address - Fax:908-587-2289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-04
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities