Healthcare Provider Details

I. General information

NPI: 1679090138
Provider Name (Legal Business Name): THE ARC OF UNION COUNTY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2017
Last Update Date: 09/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 W 1ST AVE # 145B
ROSELLE NJ
07203-1203
US

IV. Provider business mailing address

70 DIAMOND RD
SPRINGFIELD NJ
07081-3119
US

V. Phone/Fax

Practice location:
  • Phone: 973-315-0000
  • Fax: 973-315-0002
Mailing address:
  • Phone: 973-315-0000
  • Fax: 973-315-0002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number StateNJ

VIII. Authorized Official

Name: MR. FRANK X. CARAGHER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 973-315-0000