NPI 1184978397
Providence Place Pch
Practice location
- Address
- 75 Greenville Ave, Jersey City, NJ 07305-2607
- Phone
- (973) 639-6678
- Mailing address
- 590 N 7th St, Newark, NJ 07107-4553
Authorised official
- Name
- John Westervelt
- Title
- Ceo
- Phone
- (973) 596-4052
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1184978397
- Entity type
- Organization
- NPI issued
- 9 Nov 2012
- Record last updated
- 21 Jan 2026
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.