OrganizationActive
Premier Therapy Services
NPI 1124413505 · Physical Disabilities Residential Treatment Facility · Saddle River, NJ
Provider details
- NPI number
- 1124413505
- Entity type
- Organization
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Revera Inc.
- Organization subpart
- Yes
- Authorized official
- Isao Kitaguchi, Occupational Therapist(201) 681-2581
- License
- 46TR00669800 (NJ)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
5 Boroline Rd
Saddle River, NJ 07458-2343
Phone: (201) 818-8680
Approximate (ZIP-level) locationGet directions
Mailing address
5 Boroline Rd
Saddle River, NJ 07458-2343
Registry dates
- Enumerated
- 2015-04-01
- Last updated
- 2015-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.