Organization
FOUR CORNERS COMMUNITY SERVICES LLC
Active
Other names
Four Corners Community Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMA J BAFFOE (EXECUTIVE DIRECTOR)
(973) 392-0430
Entity
Organization
Contact information
Practice address
66 MOORE ST FL 2, HACKENSACK, NJ 07601-7104
(973) 392-0430
Mailing address
209 PASSAIC AVE, BELLEVILLE, NJ 07109-1960
(973) 392-0430
(973) 860-5179
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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