Organization Name: | SERV CENTERS OF NEW JERSEY, INC |
NPI Number: | 1144381708 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GARY VAN NOSTRAND (CEO) |
Mailing Address: | 380 Scotch Rd West Trenton |
State: | NJ US |
Postal Code: | 086281301 |
Phone Number: | 6094060100 |
Fax Number: | 6094060307 |
NPI Enumeration Date: | 12/13/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |