| Daytop Village Of New Jersey, Inc. | |
|
340 W Hanover Ave Morristown NJ 07960-2777 | |
| (973) 543-5764 | |
| (973) 984-5786 |
| Full Name | Daytop Village Of New Jersey, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 340 W Hanover Ave, Morristown, New Jersey |
| Authorized Official Name and Position | Stephen Scrape (DIRECTOR OF FINANCE & CONTROLLER) |
| 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. 340 W Hanover Ave Morristown NJ 07960-2777 Ph: (973) 543-5764 |
| NPI Number | 1366961864 |
|---|---|
| Provider Enumeration Date | 09/15/2017 |
| Last Update Date | 10/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366961864 | NPI | - | NPPES |
| 0456331 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 303030104 (New Jersey) | Primary |
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