Organization
PEACEFUL HABITATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROYLETA FOSTER M.ED (DIRECTOR)
(862) 253-6722
Entity
Organization
Contact information
Practice address
134 EVERGREEN PL STE 600, EAST ORANGE, NJ 07018-2011
(862) 253-6722
Mailing address
134 EVERGREEN PL STE 600, EAST ORANGE, NJ 07018-2011
(862) 253-6722
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
11/07/2024
Last updated
11/12/2024
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