Healthcare Provider Details

I. General information

NPI: 1457260861
Provider Name (Legal Business Name): ELIZABETH COALITION TO HOUSE THE HOMELESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 DIVISION STREET
ELIZABETH NJ
07201
US

IV. Provider business mailing address

118 DIVISION STREET
ELIZABETH NJ
07201
US

V. Phone/Fax

Practice location:
  • Phone: 908-355-2060
  • Fax:
Mailing address:
  • Phone: 908-355-2060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: SHANNON E MUTI
Title or Position: DIRECTOR OF PROGRAMS
Credential:
Phone: 908-355-2060