State of New Jersey Omb Centralized Payroll

NPI #1225077290 in Green Brook, New Jersey

Provider Information

NPI Number: 1225077290
Entity Type: Organization
Organization Name: State of New Jersey Omb Centralized Payroll
Subpart: Yes (part of a larger organization)
Parent Organization: STATE OF NEW JERSEY
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jun 5, 2006
Last Updated: Jun 9, 2014

Practice Location

Address: 275 GREENBROOK RD
City: Green Brook
State: New Jersey
ZIP Code: 08812-2223
Phone: (732) 968-6000

Authorized Official

Name: MR. ANTONIO BRINDISI
Title: ACTING CEO
Phone: (732) 968-5566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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