Healthcare Provider Details

I. General information

NPI: 1093294035
Provider Name (Legal Business Name): CELEBRATE THE CHILDREN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2018
Last Update Date: 06/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 DIAMOND SPRING RD
DENVILLE NJ
07834-2204
US

IV. Provider business mailing address

230 DIAMOND SPRING RD
DENVILLE NJ
07834-2204
US

V. Phone/Fax

Practice location:
  • Phone: 973-989-4033
  • Fax: 862-244-4969
Mailing address:
  • Phone: 973-989-4033
  • Fax: 862-244-4969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StateNULL

VIII. Authorized Official

Name: MONICA OSGOOD
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 862-244-4969