Provider Demographics
NPI:1871002873
Name:THE ARC OF BERGEN AND PASSAIC COUNTIES, INC.
Entity Type:Organization
Organization Name:THE ARC OF BERGEN AND PASSAIC COUNTIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PESCATORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-343-0322
Mailing Address - Street 1:223 MOORE ST
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-7402
Mailing Address - Country:US
Mailing Address - Phone:201-343-0322
Mailing Address - Fax:201-343-0401
Practice Address - Street 1:231 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4010
Practice Address - Country:US
Practice Address - Phone:201-836-9151
Practice Address - Fax:201-229-1857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-22
Last Update Date:2017-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities