Provider Demographics
NPI:1609691435
Name:ABILITIES OF NORTHWEST JERSEY INC
Entity type:Organization
Organization Name:ABILITIES OF NORTHWEST JERSEY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILDERMUTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-689-1118
Mailing Address - Street 1:PO BOX 251
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07882-0251
Mailing Address - Country:US
Mailing Address - Phone:908-689-1118
Mailing Address - Fax:
Practice Address - Street 1:200 LIMESTONE BLVD
Practice Address - Street 2:UNIT 101
Practice Address - City:WASHINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07882
Practice Address - Country:US
Practice Address - Phone:908-689-1118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities