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NPI Code Detail

MEDICARE: CROSSROADS FOR GROWTH INC.

MEDICARE: CROSSROADS FOR GROWTH INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2251C00000XDevelopmentally Disabled Services Day Training Agency

General Provider Information

NPI Number : 1912134651
Entity Type Code : Organization
Provider Name (Legal Business Name) : CROSSROADS FOR GROWTH INC.
Provider Business Mailing Address
First Line : 106 N FRANKLIN TPKE
Second Line :
City : RAMSEY
State : NJ
Zip : 07446-1627
Country : US
Telephone Number : 201-661-8660
Fax Number : 201-661-8659
Provider Business Practice Location Address
First Line : 106 N FRANKLIN TPKE
Second Line :
City : RAMSEY
State : NJ
Zip : 07446-1627
Country : US
Telephone Number : 201-661-8660
Fax Number : 201-661-8659
Authorized Official
Title or Position : PRESIDENT
Name : MRS. LINDA LAJTERMAN
Credential : RN, CCM, CDMS, CLCP
Telephone Number : 201-661-8660
Provider Enumeration Date : 06/21/2009
Last Update Date : 06/21/2009

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Directions to “CROSSROADS FOR GROWTH INC. ” Practice Location

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