Four Corners Community Services LLC
NPI #1144986811 in Hackensack, New Jersey
Provider Information
- NPI Number
- 1144986811
- Entity Type
- Organization
- Organization Name
- Four Corners Community Services LLC
- Primary Specialty
- Day Training/Habilitation Specialist
- Enumeration Date
- Nov 16, 2021
- Last Updated
- Nov 16, 2021
Practice Location
- Address
- 66 MOORE ST FL 2
- City
- Hackensack
- State
- New Jersey
- ZIP Code
- 07601-7104
- Phone
- (973) 392-0430
Authorized Official
- Name
- MS. AMA J BAFFOE
- Title
- EXECUTIVE DIRECTOR
- Phone
- (973) 392-0430
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training/Habilitation Specialist |
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