Organization
UNITY FOR DEVELOPMENTAL DISABILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHON TYNES (OWNER)
(973) 856-4404
Entity
Organization
Contact information
Practice address
2204 MORRIS AVE STE L-2, UNION, NJ 07083-5918
(973) 856-4404
(973) 228-3964
Mailing address
3847 SCHENLEY AVE, GASTONIA, NC 28056-6336
(973) 856-4404
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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