Kobe Adesanya

NPI #1538724950 in Woodbridge, New Jersey

Provider Information

NPI Number: 1538724950
Entity Type: Individual
Name: Kobe Adesanya
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 1, 2019
Last Updated: May 1, 2019

Practice Location

Address: 188 MAIN ST
City: Woodbridge
State: New Jersey
ZIP Code: 07095-1921
Phone: (917) 330-2481

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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