Provider Demographics
NPI:1023425535
Name:JERSEY CAPE DIAGNOSTIC, TRAINING AND OPPORTUNITY CENTER, INC.
Entity type:Organization
Organization Name:JERSEY CAPE DIAGNOSTIC, TRAINING AND OPPORTUNITY CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:R
Authorized Official - Last Name:SITTINERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-465-4117
Mailing Address - Street 1:4 MOORE RD
Mailing Address - Street 2:DN 606
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-1654
Mailing Address - Country:US
Mailing Address - Phone:609-465-4117
Mailing Address - Fax:609-465-3899
Practice Address - Street 1:4 MOORE RD
Practice Address - Street 2:DN 606
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-1654
Practice Address - Country:US
Practice Address - Phone:609-465-4117
Practice Address - Fax:609-465-3899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-16
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No347C00000XTransportation ServicesPrivate Vehicle