| Cope Center, Inc. | |
|
73 S Fullerton Ave Montclair NJ 07042-2618 | |
| (973) 783-6655 | |
| (973) 233-1396 |
| Full Name | Cope Center, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 73 S Fullerton Ave, Montclair, New Jersey |
| Authorized Official Name and Position | Sue A. Seidenfeld (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9737836655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cope Center, Inc. 73 S Fullerton Ave Montclair NJ 07042-2618 Ph: (973) 783-6655 | Cope Center, Inc. 73 S Fullerton Ave Montclair NJ 07042-2618 Ph: (973) 783-6655 |
| NPI Number | 1912426867 |
|---|---|
| Provider Enumeration Date | 09/12/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912426867 | NPI | - | NPPES |
| 0580198 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2000653 (New Jersey) | Primary |
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