Provider Demographics
NPI:1457735045
Name:ARC OF HUNTERDON
Entity type:Organization
Organization Name:ARC OF HUNTERDON
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF MEDICAID SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-730-7827
Mailing Address - Street 1:473 BARBERTOWN POINT BREEZE RD
Mailing Address - Street 2:
Mailing Address - City:FRENCHTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08825-3915
Mailing Address - Country:US
Mailing Address - Phone:908-782-3855
Mailing Address - Fax:908-788-6979
Practice Address - Street 1:473 BARBERTOWN POINT BREEZE RD
Practice Address - Street 2:
Practice Address - City:FRENCHTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08825-3915
Practice Address - Country:US
Practice Address - Phone:908-782-3855
Practice Address - Fax:908-788-6979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-14
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities