N/a
NPI #1205557790 in Carteret, New Jersey
Provider Information
- NPI Number
- 1205557790
- Entity Type
- Organization
- Organization Name
- N/a
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Sep 5, 2022
- Last Updated
- Sep 5, 2022
Practice Location
- Address
- 304 PERSHING AVE
- City
- Carteret
- State
- New Jersey
- ZIP Code
- 07008-3025
- Phone
- (848) 203-8264
Authorized Official
- Name
- SAMWEL GITONGA
- Title
- OWNER
- Phone
- (848) 203-8264
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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