Provider Demographics
NPI:1750761854
Name:PRIME TIME CENTER INC
Entity type:Organization
Organization Name:PRIME TIME CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:H
Authorized Official - Last Name:REINHARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-258-5271
Mailing Address - Street 1:2210 W COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-2293
Mailing Address - Country:US
Mailing Address - Phone:888-258-5271
Mailing Address - Fax:732-541-2557
Practice Address - Street 1:60 HIGH ST
Practice Address - Street 2:
Practice Address - City:CARTERET
Practice Address - State:NJ
Practice Address - Zip Code:07008-2653
Practice Address - Country:US
Practice Address - Phone:888-258-5271
Practice Address - Fax:732-541-2557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-03
Last Update Date:2017-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services