Provider Demographics
NPI:1922488535
Name:UNITED CEREBRAL PALSY OF HUDSON COUNTY
Entity Type:Organization
Organization Name:UNITED CEREBRAL PALSY OF HUDSON COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:KEARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:2014-366-2200
Mailing Address - Street 1:8814 KENNEDY BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH BERGEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07047-5301
Mailing Address - Country:US
Mailing Address - Phone:201-662-8120
Mailing Address - Fax:201-861-4605
Practice Address - Street 1:8814 KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:NORTH BERGEN
Practice Address - State:NJ
Practice Address - Zip Code:07047-5301
Practice Address - Country:US
Practice Address - Phone:201-662-8120
Practice Address - Fax:201-861-4605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-09
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services