Community Milestones

NPI 1114363033 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1114363033
Enumeration Date 05/18/2013
Last Updated 05/18/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name DAMON K DAMON
Position CHIEF EXECUTIVE OFFICER
Phone (973) 273-4401
Fax (973) 273-4406
Practice Location
60 S FULLERTON AVE
SUITE 107
MONTCLAIR NJ, 07042-2632, US
Phone (973) 273-4401
Fax (973) 273-4406
Business Location
PO BOX 2011
EAST ORANGE NJ, 07019-2011, US
Phone (973) 273-4401
Fax (973) 273-4406
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
Remove 1114363033 NPI Number
 

According to our database, Community Milestones NPI is 1114363033, taxonomy code is 251S00000X Community Milestones physically located at 60 S Fullerton Ave, Montclair NJ, 07042-2632. NPI Number 1033115704 has the healthcare provider type.

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1114363033 NPI number is provided on an as is basis without warranty of any kind. 1114363033 is maintained by the National Plan & Provider Enumeration System. The contents of Community Milestones are for informational purposes only.