Organization Name: | STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL |
NPI Number: | 1356734271 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTONIO BRINDISI (CHEIF EXECUTIVE OFFICE) |
Mailing Address: | 275 Greenbrook Rd Green Brook |
State: | NJ US |
Postal Code: | 088122223 |
Phone Number: | 7329686000 |
Fax Number: | 7329680373 |
NPI Enumeration Date: | 03/17/2015 |
NPI Last Update Date: | 05/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320600000X |
License Number: | 31-G009 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |