| NPI | 1164784294 |
|---|---|
| Doing Business As | HACKENSACK MERIDIAN HEALTH CARRIER CLINIC EAST MOUNTAIN YOUTH LODGE LO |
| Entity Type | Organization |
| Authorized Contact | RANDOLPH S. JACOBSON Vice President CFO 908-281-1000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: NJ 51806) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2019-04-05 |