Provider Demographics
NPI:1902424773
Name:THE WHOLE SPECTRUM AUTISM FOUNDATION
Entity Type:Organization
Organization Name:THE WHOLE SPECTRUM AUTISM FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:M/A
Authorized Official - Phone:862-900-8955
Mailing Address - Street 1:194 NEWARK AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-2725
Mailing Address - Country:US
Mailing Address - Phone:862-900-8955
Mailing Address - Fax:201-963-8922
Practice Address - Street 1:194 NEWARK AVE FL 2
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-2725
Practice Address - Country:US
Practice Address - Phone:862-900-8955
Practice Address - Fax:201-963-8922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-08
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency
No385H00000XRespite Care FacilityRespite Care