ST. TIMOTHY'S GROUP HOME FOR BOYS NPI 1689883498

NPI Information

ST. TIMOTHY'S GROUP HOME FOR BOYS is a residential treatment facility emotionally disturbed children in Newark, NJ. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. ST. TIMOTHY'S GROUP HOME FOR BOYS NPI is 1689883498. The provider is registered as an organization entity type.

The provider's business location address is:

25 JAMES ST
NEWARK, NJ
ZIP 07102-001
Phone: (973) 621-2273
Fax: (973) 621-7259

The provider's authorized official is Judy D. Bennett .
The authorized official title is Deputy Executive Director and has the following contact phone number (973) 621-2273.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.