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Organization
LIVE IN THE DREAM, LLC
Active
Organization
LIVE IN THE DREAM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLE ROGERS BA, M.A. ED., CBIS (CEO)
(732) 300-4927
Entity
Organization
Contact information
Practice address
116 ANTHONY AVE, TOMS RIVER, NJ 08753-7175
(732) 300-4927
Mailing address
PO BOX 1792, TOMS RIVER, NJ 08754-1792
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
225400000X
Rehabilitation Practitioner
Primary
—
NULL
225400000X
Rehabilitation Practitioner
Primary
—
—
225C00000X
Rehabilitation Counselor
—
NULL
225C00000X
Rehabilitation Counselor
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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