Provider Demographics
NPI:1922856517
Name:THE ARC OF UNION COUNTY, INC.
Entity type:Organization
Organization Name:THE ARC OF UNION COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ASUTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-315-0017
Mailing Address - Street 1:70 DIAMOND RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07081-3119
Mailing Address - Country:US
Mailing Address - Phone:973-315-0070
Mailing Address - Fax:
Practice Address - Street 1:455 SOUTH AVENUE EAST
Practice Address - Street 2:APARTMENT 253
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090
Practice Address - Country:US
Practice Address - Phone:973-315-0000
Practice Address - Fax:973-315-0002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities