NPI 1689883498

St. Timothy's Group Home for Boys

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Newark, NJ

Practice location

Address: 25 James St, Newark, NJ 07102-2001
Phone: (973) 621-2273
Fax: (973) 621-7259
Mailing address: 399 Heywood Ave, Orange, NJ 07050-2006

Authorised official

Name: Judy D. Bennett
Title: Deputy Executive Director
Phone: (973) 621-2273

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1689883498
Entity type: Organization
NPI issued: 21 May 2007
Record last updated: 22 Aug 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.