Organization
JENKINS OUTREACH FOR YOUTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATESHA JENKINS MS LSW (EXECUTIVE DIRECTOR)
(973) 698-4172
Entity
Organization
Contact information
Practice address
1407 ELAINE TER, UNION, NJ 07083-4712
(973) 698-4172
Mailing address
1407 ELAINE TER, UNION, NJ 07083-4712
(973) 698-4172
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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