NPI 1184005647

Community Action for Independent Living, INC.

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

Practice location

Address: 63 Princeton Rd, Elizabeth, NJ 07208-1340
Phone: (908) 351-4915
Fax: (908) 962-9445
Mailing address: 1 Cornell Pkwy, Springfield, NJ 07081-3561

Authorised official

Name: Michele Difabio
Title: Controller
Phone: (973) 564-7557

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X Licence GH1064 (NJ)

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

Registry record

NPI: 1184005647
Entity type: Organization
NPI issued: 10 Jun 2015
Record last updated: 10 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.