Organization
SUPPORTIVE CONNECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEFANIE THOMAS (DIRECTOR)
(732) 610-1065
Entity
Organization
Contact information
Practice address
256 CHERRY QUAY RD, BRICK, NJ 08723-6306
(732) 610-1065
Mailing address
256 CHERRY QUAY RD, BRICK, NJ 08723-6306
(732) 610-1065
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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