Provider Demographics
NPI:1871392464
Name:THE MARILYN CENTER
Entity type:Organization
Organization Name:THE MARILYN CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BERNICE
Authorized Official - Middle Name:Y
Authorized Official - Last Name:TAYLOR-JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-580-4277
Mailing Address - Street 1:85 S HARRISON ST STE 201
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-1743
Mailing Address - Country:US
Mailing Address - Phone:973-474-6492
Mailing Address - Fax:973-674-6742
Practice Address - Street 1:85 S HARRISON ST STE 201
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-1743
Practice Address - Country:US
Practice Address - Phone:973-474-6492
Practice Address - Fax:973-674-6742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center