Provider Demographics
NPI:1861709321
Name:THE SALEM COUNTY CENTER FOR AUTISM
Entity type:Organization
Organization Name:THE SALEM COUNTY CENTER FOR AUTISM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:K
Authorized Official - Last Name:GALEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-678-9400
Mailing Address - Street 1:390 N BROADWAY
Mailing Address - Street 2:CONCORDE BUILDING SUITE 1200
Mailing Address - City:PENNSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08070-1253
Mailing Address - Country:US
Mailing Address - Phone:856-678-9400
Mailing Address - Fax:856-678-9401
Practice Address - Street 1:193 N BROADWAY
Practice Address - Street 2:
Practice Address - City:PENNSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08070-1417
Practice Address - Country:US
Practice Address - Phone:856-678-9400
Practice Address - Fax:856-678-9401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-05
Last Update Date:2010-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable