NPI 1114363033
Community Milestones
Practice location
- Address
- 60 S Fullerton Ave Suite 107, Montclair, NJ 07042-2632
- Phone
- (973) 273-4401
- Fax
- (973) 273-4406
- Mailing address
- PO Box 2011, East Orange, NJ 07019-2011
Authorised official
- Name
- Damon K Ceaser
- Title
- Chief Executive Officer
- Phone
- (973) 273-4401
Registered specialties (4)
Case Management Agency
Primary
Community/Behavioral Health Agency
Voluntary or Charitable Agency
In Home Supportive Care Agency
Registry record
- NPI
- 1114363033
- Entity type
- Organization
- NPI issued
- 18 May 2013
- Record last updated
- 18 May 2013
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.