Developmental Disability Awareness With Love
NPI #1063028629 in Boonton, New Jersey
Provider Information
- NPI Number
- 1063028629
- Entity Type
- Organization
- Organization Name
- Developmental Disability Awareness With Love
- Primary Specialty
- Clinic/Center - Developmental Disabilities
- Enumeration Date
- Sep 18, 2020
- Last Updated
- Jun 26, 2024
Practice Location
- Address
- 334 W MAIN ST
- City
- Boonton
- State
- New Jersey
- ZIP Code
- 07005-1148
- Phone
- (973) 588-5370
Authorized Official
- Name
- TYQUAN L. GRIFFIN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (973) 223-5197
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Developmental Disabilities — Developmental Disabilities |
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