NPI 1114449840

Spectrum for Living Development, INC.

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

Practice location

Address: 81 Rivervale Rd APT 1-3a, River Vale, NJ 07675-6285
Phone: (201) 722-0904
Mailing address: 210 Rivervale Rd APT 3, River Vale, NJ 07675-6281

Authorised official

Name: William G. Muilenburg
Title: Cfo
Phone: (201) 358-8000

Registered specialties (2)

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 →

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X

Registry record

NPI: 1114449840
Entity type: Organization
NPI issued: 14 Jul 2017
Record last updated: 28 Feb 2020

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.