OrganizationActive
Easter Seals New Jersey
NPI 1649496993 · Mental Illness Community Based Residential Treatment Facility · West Orange, NJ
Provider details
- NPI number
- 1649496993
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Omar Soberal, Vp of Revenue
Practice location
121 Main St
West Orange, NJ 07052-5673
Phone: (732) 257-6662
Fax: (732) 257-7373
Mailing address
241 Forsgate Drive
Jamesburg, NJ 08831
Registry dates
- Enumerated
- 2007-04-17
- Last updated
- 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.