Whalio Doctors

NPI 1114469483

Garden State Episcopal Community Development Corporation

Organisation Case Management Agency Jersey City, NJ

Practice location

Address
118 Summit Ave, Jersey City, NJ 07304-3008
Phone
(201) 209-9301
Fax
(201) 659-1046

Authorised official

Name
Carol Mori
Title
Executive Director
Phone
(201) 209-9301

Registered specialties

Case Management Agency Primary
Agencies Taxonomy 251B00000X Licence 101680148 (NJ)

Registry record

NPI
1114469483
Entity type
Organization
NPI issued
17 Nov 2016
Record last updated
17 Nov 2016

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.