Individual
TIARA RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1193 COLUMBIA PL, HILLSIDE, NJ 07205-2078
(908) 567-9117
Mailing address
1404 OAK TREE RD STE 4 #151, ISELIN,, NJ 08830
(908) 229-4346
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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