Provider Demographics
NPI:1013380294
Name:HUNTERDON YOUTH SERVICES, INC
Entity Type:Organization
Organization Name:HUNTERDON YOUTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MS
Authorized Official - Phone:908-782-1046
Mailing Address - Street 1:56 SAND HILL RD
Mailing Address - Street 2:P.O BOX 2397
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-5582
Mailing Address - Country:US
Mailing Address - Phone:908-782-1046
Mailing Address - Fax:
Practice Address - Street 1:56 SAND HILL RD
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-5582
Practice Address - Country:US
Practice Address - Phone:908-782-1046
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-10
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management