NPIMap

Spectrum for Living Development, Inc.

Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Ringwood, NJ

NPI 1760904445 · NPPES record last updated Feb 28, 2020

Key facts

NPI
1760904445
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
License
SA882 (NJ)
Legal business name
SPECTRUM FOR LIVING DEVELOPMENT, INC.
Practice address
20 Morris Rd Apt 2
Ringwood, NJ 07456-1700
Phone
(973) 962-6525
NPI assigned
Jul 13, 2017
Organization subpart
No

Authorized official

Name
William G. Muilenburg
Title
Cfo
Phone
(201) 358-8000

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Spectrum for Living Development Inc (75 organizations share this tax ID)

Locations

20 Morris Rd
Apt 2
Ringwood, NJ 07456
Phone (973) 962-6525

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X SA882 NJ Yes

Addresses

Primary practice location

20 Morris Rd Apt 2
Ringwood, NJ 07456-1700

Mailing address

210 Rivervale Rd
River Vale, NJ 07675-6281
Phone (201) 358-8000

Other identifiers

IdentifierTypeStateIssuer
0536521MedicaidNJ

Other providers in Ringwood, NJ

All providers in Ringwood, NJ · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Jersey

Sources for this page

Verify at the official NPI Registry.