Provider Demographics
NPI:1013251255
Name:EMPLOYMENT NETWORK TEAM OF NEW JERSEY
Entity Type:Organization
Organization Name:EMPLOYMENT NETWORK TEAM OF NEW JERSEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:WALTON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:609-386-3322
Mailing Address - Street 1:PO BOX 2367
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08543-2367
Mailing Address - Country:US
Mailing Address - Phone:609-386-3322
Mailing Address - Fax:609-589-3345
Practice Address - Street 1:354 S BROAD ST STE 120
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08608-2502
Practice Address - Country:US
Practice Address - Phone:609-386-3322
Practice Address - Fax:609-589-3345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-10
Last Update Date:2012-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJCF0428300251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management