Organization
DEVELOPMENTAL GROWTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIRTZA KATZ (ASSISTANT CLINICAL DIRECTOR)
(917) 536-0255
Entity
Organization
Contact information
Practice address
1 HUNTER DR, LAKEWOOD, NJ 08701-4755
(201) 249-0048
Mailing address
1 HUNTER DR, LAKEWOOD, NJ 08701-4755
(201) 249-0048
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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