Spectrum for Living Group Homes Inc.
NPI #1053793463 in Rivervale, New Jersey
Provider Information
- NPI Number
- 1053793463
- Entity Type
- Organization
- Organization Name
- Spectrum for Living Group Homes Inc.
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jun 22, 2015
- Last Updated
- Jun 22, 2015
Practice Location
- Address
- 81 RIVERVALE RD
- City
- Rivervale
- State
- New Jersey
- ZIP Code
- 07675-6214
- Phone
- (201) 722-0904
Authorized Official
- Name
- MARK MICHELSON
- Title
- PRESIDENT/CEO
- Phone
- (201) 358-5063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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