| Cope Center, Inc. | |
|
104 Bloomfield Ave Montclair NJ 07042-4723 | |
| (973) 783-6655 | |
| (973) 783-1658 |
| Full Name | Cope Center, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 104 Bloomfield Ave, Montclair, New Jersey |
| Authorized Official Name and Position | Sue Ann Seidenfeld (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9737836655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cope Center, Inc. 104 Bloomfield Ave Montclair NJ 07042-4723 Ph: (973) 783-6655 | Cope Center, Inc. 104 Bloomfield Ave Montclair NJ 07042-4723 Ph: (973) 783-6655 |
| NPI Number | 1073646352 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073646352 | NPI | - | NPPES |
| 7609604 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 22203 (New Jersey) | Primary |
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