Organization
GOOD FRIENDS OF CHILDREN WITH CHILDHOOD DEVELOPMENTAL DISABILITIES
Active
Organization
GOOD FRIENDS OF CHILDREN WITH CHILDHOOD DEVELOPMENTAL DISABILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATT OLUWASINA OGUNWALE (PRESIDENT/CEO)
(973) 204-2210
Entity
Organization
Contact information
Practice address
39 WAINWRIGHT ST, NEWARK, NJ 07112-1333
(973) 204-2210
(973) 991-1257
Mailing address
PO BOX 8774, NEWARK, NJ 07108-0774
(973) 204-2210
(973) 991-1257
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0161616
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0161616
—
NJ
Enumeration date
07/22/2008
Last updated
07/22/2008
Update your record
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