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Contact Information

COLLABORATIVE SUPPORT PROGRAM OF NEW JERSEY, INC
11 SPRING STREET
FREEHOLD TOWNSHIP, NJ07728
 Phone: 732-780-1175
 Fax: 732-780-8977
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Case Management

251B00000X
Indicates primary specialty

NPI Profile & details for COLLABORATIVE SUPPORT PROGRAM OF NEW JERSEY, INC

NPI # 1386085652
LBN Legal business name COLLABORATIVE SUPPORT PROGRAM OF NEW JERSEY, INC
Authorized official STEVEN BLACKBURN - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/15/2013
Last updated 12/17/2025 - About 6 months ago
Identifiers
NJ Medicaid 0411574
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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