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Organization
JENKINS OUTREACH FOR YOUTH, INC.
Active
Organization
JENKINS OUTREACH FOR YOUTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATESHA JENKINS MS LSW (EXECUTIVE DIRECTOR)
(973) 698-4172
Entity
Organization
Contact information
Practice address
1407 ELAINE TER, UNION, NJ 07083-4712
(973) 698-4172
Mailing address
1407 ELAINE TER, UNION, NJ 07083-4712
(973) 698-4172
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
NULL
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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