Making a Difference in Teens and Young Adults
NPI #1669910725 in Irvington, New Jersey
Provider Information
- NPI Number
- 1669910725
- Entity Type
- Organization
- Organization Name
- Making a Difference in Teens and Young Adults
- Primary Specialty
- Case Management
- Enumeration Date
- Feb 8, 2017
- Last Updated
- Feb 8, 2017
Practice Location
- Address
- 1035 SANFORD AVE
- City
- Irvington
- State
- New Jersey
- ZIP Code
- 07111-1946
- Phone
- (973) 652-4199
Authorized Official
- Name
- MRS. LASHUN GOODMAN, MS, CSW
- Title
- CEO
- Phone
- (973) 652-4199
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
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