Provider Demographics
NPI:1871761817
Name:NU CITY CORP. T/A NEIGHBORHOOD EDUCATION AND TRAINING CENTER
Entity type:Organization
Organization Name:NU CITY CORP. T/A NEIGHBORHOOD EDUCATION AND TRAINING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:ENG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-352-0123
Mailing Address - Street 1:60 PRINCE ST
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07208-3269
Mailing Address - Country:US
Mailing Address - Phone:908-352-0123
Mailing Address - Fax:908-352-0123
Practice Address - Street 1:60 PRINCE ST
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07208-3269
Practice Address - Country:US
Practice Address - Phone:908-352-0123
Practice Address - Fax:908-352-0123
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NU CITY CORP.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-12
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2000207251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health