Provider Demographics
NPI:1912753971
Name:FRIENDSHIP CIRCLES NJ
Entity type:Organization
Organization Name:FRIENDSHIP CIRCLES NJ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ZALMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GROSSBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-251-0204
Mailing Address - Street 1:10 MICROLAB ROAD
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039
Mailing Address - Country:US
Mailing Address - Phone:973-454-3790
Mailing Address - Fax:
Practice Address - Street 1:10 MICROLAB ROAD
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039
Practice Address - Country:US
Practice Address - Phone:973-454-3790
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRIENDSHIP CIRCLE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services