Provider Demographics
NPI:1992184477
Name:CHILDREN'S CENTER PROGRAMS, LLC
Entity Type:Organization
Organization Name:CHILDREN'S CENTER PROGRAMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:MEROLA
Authorized Official - Suffix:JR
Authorized Official - Credentials:BS
Authorized Official - Phone:732-922-0228
Mailing Address - Street 1:1115 GREEN GROVE RD
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-2571
Mailing Address - Country:US
Mailing Address - Phone:732-922-0228
Mailing Address - Fax:732-922-8133
Practice Address - Street 1:1115 GREEN GROVE RD
Practice Address - Street 2:
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-2571
Practice Address - Country:US
Practice Address - Phone:732-922-0228
Practice Address - Fax:732-922-8133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-29
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services