Organization
LIVE IN THE DREAM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLE ROGERS BA, M.A. ED., CBIS (CEO)
(732) 300-4927
Entity
Organization
Contact information
Practice address
116 ANTHONY AVE, TOMS RIVER, NJ 08753-7175
(732) 300-4927
Mailing address
PO BOX 1792, TOMS RIVER, NJ 08754-1792
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
225C00000X
Rehabilitation Counselor
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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