OrganizationActive
Easter Seals New Jersey
NPI 1407979669 · Mental Illness Community Based Residential Treatment Facility · East Brunswick, NJ
Provider details
- NPI number
- 1407979669
- 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-M40-00-41 (NJ)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense 40003-M40-00-41 (NJ)
Residential Treatment Facilities
Practice location
333 Mcdowell Dr
East Brunswick, NJ 08816-4087
Phone: (732) 257-6662
Fax: (732) 257-7373
Approximate (ZIP-level) locationGet directions
Mailing address
241 Forsgate Drive
Jamesburg, NJ 08831
Additional practice locations (1)
- 359 Bromley PlEast Brunswick, NJ 08816-5109Phone: (732) 955-8374
Registry dates
- Enumerated
- 2007-04-10
- Last updated
- 2025-08-21
- 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.