OrganizationActive
Easter Seals New Jersey
NPI 1316060577 · Mental Illness Community Based Residential Treatment Facility · Hackettstown, NJ
Provider details
- NPI number
- 1316060577
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Omar Soberal, Vp of Revenue(732) 955-8373
- License
- 40003-W40-07-40 (NJ)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense 40003-W40-01-40 (NJ)
Residential Treatment Facilities
Residential Treatment Facilities
Residential Treatment Facilities
Practice location
409 Sharp St
Hackettstown, NJ 07840-1933
Phone: (732) 257-6662
Fax: (732) 257-7373
Approximate (ZIP-level) locationGet directions
Mailing address
241 Forsgate Drive
Jamesburg, NJ 08831
Additional practice locations (2)
- 3 Beechwood LaneBlairstown, NJ 07823Phone: (732) 955-8374
- 47 Belview RdLapatong, NJ 07840Phone: (732) 955-8374
Registry dates
- Enumerated
- 2007-04-10
- Last updated
- 2025-08-29
- Certified
- 2025-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.