Healthcare Provider Details

I. General information

NPI: 1700704806
Provider Name (Legal Business Name): THE ARC, WARREN COUNTY CHAPTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 PARK AVE # B11
WASHINGTON NJ
07882-1815
US

IV. Provider business mailing address

319 W WASHINGTON AVE
WASHINGTON NJ
07882-2157
US

V. Phone/Fax

Practice location:
  • Phone: 908-689-7525
  • Fax: 908-689-4898
Mailing address:
  • Phone: 908-689-7525
  • Fax: 908-689-4898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JOHN DAVID WHITEHEAD
Title or Position: CEO
Credential:
Phone: 908-689-7525