Provider Demographics
NPI:1952743692
Name:JEWISH COMMUNITY CENTER ON THE PALISADES
Entity Type:Organization
Organization Name:JEWISH COMMUNITY CENTER ON THE PALISADES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, SPECIAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:SHELLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-408-1489
Mailing Address - Street 1:411 EAST CLINTON AVENUE
Mailing Address - Street 2:
Mailing Address - City:TENAFLY
Mailing Address - State:NJ
Mailing Address - Zip Code:07670
Mailing Address - Country:US
Mailing Address - Phone:201-408-1489
Mailing Address - Fax:201-569-7448
Practice Address - Street 1:411 EAST CLINTON AVENUE
Practice Address - Street 2:KAPLEN JCC ON THE PALISADES
Practice Address - City:TENAFLY
Practice Address - State:NJ
Practice Address - Zip Code:07670
Practice Address - Country:US
Practice Address - Phone:201-408-1489
Practice Address - Fax:201-569-7448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-23
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care