# JENKINS OUTREACH FOR YOUTH, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154871705
- **Authorized official:** MS. LATESHA JENKINS MS LSW (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (973) 698-4172

## Contact information

- **Practice address:** 1407 ELAINE TER, UNION, NJ 07083-4712
- **Practice address phone:** (973) 698-4172
- **Mailing address:** 1407 ELAINE TER, UNION, NJ 07083-4712
- **Mailing address phone:** (973) 698-4172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 10/06/2016
- **Last updated:** 10/06/2016