Whalio Doctors

NPI 1093822264

Daytop Village of Nj

Organisation Children's Substance Abuse Rehabilitation Facility Mendham, NJ

Practice location

Address
80 W Main St, Mendham, NJ 07945-1230
Phone
(973) 543-5656
Fax
(973) 543-5273
Mailing address
PO Box 310, Mendham, NJ 07945-1230

Authorised official

Name
Stephen Scrape
Title
Director of Finance & Controller
Phone
(862) 260-9460

Registered specialties

Children's Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 3245S0500X Licence AS0002 (NJ)

Registry record

NPI
1093822264
Entity type
Organization
NPI issued
24 Aug 2006
Record last updated
14 Sep 2017

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.