| Daytop Village Of New Jersey, Inc. | |
|
6 Gauntt Pl Bldg 2 Flemington NJ 08822-4614 | |
| (908) 806-5195 | |
| (908) 806-5197 |
| Full Name | Daytop Village Of New Jersey, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6 Gauntt Pl Bldg 2, Flemington, New Jersey |
| Authorized Official Name and Position | Stephen Scrape (DIR OF FINANCE/COMPTROLLER) |
| Authorized Official Contact | 8622609460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daytop Village Of New Jersey, Inc. Po Box 310 Mendham NJ 07945-0310 Ph: (862) 260-9460 | Daytop Village Of New Jersey, Inc. 6 Gauntt Pl Bldg 2 Flemington NJ 08822-4614 Ph: (908) 806-5195 |
| NPI Number | 1689191652 |
|---|---|
| Provider Enumeration Date | 08/29/2017 |
| Last Update Date | 02/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689191652 | NPI | - | NPPES |
| 0448575 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 303030204 (New Jersey) | Primary |
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