689 South 16th Street Corp
NPI #1174058168 in West Caldwell, New Jersey
Provider Information
- NPI Number
- 1174058168
- Entity Type
- Organization
- Organization Name
- 689 South 16th Street Corp
- Primary Specialty
- Case Management
- Enumeration Date
- Apr 27, 2017
- Last Updated
- Apr 27, 2017
Practice Location
- Address
- 555 PASSAIC AVENUE
- City
- West Caldwell
- State
- New Jersey
- ZIP Code
- 07006
- Phone
- (973) 808-9300
Authorized Official
- Name
- TRICIA MAC EVOY
- Title
- TRUSTEE
- Phone
- (973) 271-5802
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
| Community/Behavioral Health |
| In Home Supportive Care |
| Non-emergency Medical Transport (VAN) |
| Case Management |
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