Provider Demographics
NPI:1093847287
Name:THE CENTER FOR GREAT EXPECTATIONS
Entity type:Organization
Organization Name:THE CENTER FOR GREAT EXPECTATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DELLA BADIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-993-6403
Mailing Address - Street 1:19B DELLWOOD LN
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-1551
Mailing Address - Country:US
Mailing Address - Phone:732-247-7003
Mailing Address - Fax:732-247-7043
Practice Address - Street 1:19B DELLWOOD LN
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-1551
Practice Address - Country:US
Practice Address - Phone:732-247-7014
Practice Address - Fax:732-247-7063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0404471Medicaid
NJ7839308Medicaid
NJ0458279Medicaid
NJ8794901Medicaid