Good Shepherd Ddd Services LLC
NPI #1568148179 in Lyndhurst, New Jersey
Provider Information
- NPI Number
- 1568148179
- Entity Type
- Organization
- Organization Name
- Good Shepherd Ddd Services LLC
- Primary Specialty
- Clinic/Center - Developmental Disabilities
- Enumeration Date
- Jun 27, 2023
- Last Updated
- Jun 27, 2023
Practice Location
- Address
- 725 VALLEY BROOK AVE
- City
- Lyndhurst
- State
- New Jersey
- ZIP Code
- 07071-2030
- Phone
- (201) 933-0711
Authorized Official
- Name
- RAGAE W. WASSEF
- Title
- MANAGER/MEMBER
- Phone
- (973) 930-5687
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Developmental Disabilities — Developmental Disabilities |
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