Provider Demographics
NPI:1447836655
Name:UNITED CEREBRAL PALSY OF HUDSON CNTY INC.
Entity type:Organization
Organization Name:UNITED CEREBRAL PALSY OF HUDSON CNTY INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF CLINICAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:REGGIE
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, CERTSSW
Authorized Official - Phone:120-143-6220
Mailing Address - Street 1:721 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-4786
Mailing Address - Country:US
Mailing Address - Phone:201-436-2200
Mailing Address - Fax:201-436-6642
Practice Address - Street 1:721 BROADWAY
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-4786
Practice Address - Country:US
Practice Address - Phone:201-436-2200
Practice Address - Fax:201-436-6642
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITED CEREBRAL PALSY OF HUDSON CNTY INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-19
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health