Provider Demographics
NPI:1669274288
Name:GREATER BERGEN COMMUNITY ACTION
Entity type:Organization
Organization Name:GREATER BERGEN COMMUNITY ACTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF RESOURCE AND DEVELOPMENT OFFI
Authorized Official - Prefix:MS
Authorized Official - First Name:LYNNE
Authorized Official - Middle Name:HARWELL
Authorized Official - Last Name:ALGRANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-968-0200
Mailing Address - Street 1:392 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-5805
Mailing Address - Country:US
Mailing Address - Phone:201-968-0200
Mailing Address - Fax:
Practice Address - Street 1:529 MIDLAND AVE
Practice Address - Street 2:
Practice Address - City:GARFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07026-1607
Practice Address - Country:US
Practice Address - Phone:201-968-0200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management