Provider Demographics
NPI:1154284362
Name:DEPARTMENT OF SPECIAL EDUCATION OF THE ROMAN CATHOLIC DIOCESE OF PATER
Entity type:Organization
Organization Name:DEPARTMENT OF SPECIAL EDUCATION OF THE ROMAN CATHOLIC DIOCESE OF PATER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLIKEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-406-1105
Mailing Address - Street 1:18 MOSTYN RD
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:NJ
Mailing Address - Zip Code:07869-1035
Mailing Address - Country:US
Mailing Address - Phone:201-303-6341
Mailing Address - Fax:
Practice Address - Street 1:18 MOSTYN RD
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:NJ
Practice Address - Zip Code:07869-1035
Practice Address - Country:US
Practice Address - Phone:201-303-6341
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-04
Last Update Date:2025-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities