Provider Demographics
NPI:1538530456
Name:THE CENTER FOR GREAT EXPECTATIONS
Entity type:Organization
Organization Name:THE CENTER FOR GREAT EXPECTATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHE
Authorized Official - Middle Name:
Authorized Official - Last Name:DELLA BADIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-247-7003
Mailing Address - Street 1:984 BERGEN AVENUE
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-2335
Mailing Address - Country:US
Mailing Address - Phone:732-993-9762
Mailing Address - Fax:732-626-4544
Practice Address - Street 1:984 BERGEN AVENUE
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-2335
Practice Address - Country:US
Practice Address - Phone:732-993-9762
Practice Address - Fax:732-626-4544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-19
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2000163261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0458279Medicaid