Healthcare Provider Details

I. General information

NPI: 1952854127
Provider Name (Legal Business Name): CATHOLIC CHARITIES, DIOCESE OF METUCHEN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2016
Last Update Date: 07/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 ROUTE 22
BRIDGEWATER NJ
08807-2405
US

IV. Provider business mailing address

319 MAPLE ST
PERTH AMBOY NJ
08861-4101
US

V. Phone/Fax

Practice location:
  • Phone: 908-722-1881
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JULIO COTO
Title or Position: ASSOCIATE EXECUTIVE DIRECTOR
Credential:
Phone: 732-324-8200