NPI 1053793463

Spectrum for Living Group Homes INC.

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Rivervale, NJ

Practice location

Address: 81 Rivervale Rd, Rivervale, NJ 07675-6214
Phone: (201) 722-0904
Mailing address: 210 Rivervale Rd Suite 3, Rivervale, NJ 07675-6281

Authorised official

Name: Mark Michelson
Title: President/Ceo
Phone: (201) 358-5063

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence SA555 (NJ)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in New Jersey →

Registry record

NPI: 1053793463
Entity type: Organization
NPI issued: 22 Jun 2015
Record last updated: 22 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.