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Organization
HAKI YETU
Active
Organization
HAKI YETU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA VICTOME MSW, ACSW (EXECUTIVE DIRECTOR)
(646) 500-4600
Entity
Organization
Contact information
Practice address
743 S 12TH ST FL 3, NEWARK, NJ 07103-1740
(646) 500-4600
Mailing address
21 DOTY AVE, STATEN ISLAND, NY 10305-4717
(646) 500-4600
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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