Organization
Y.A.L.E. CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH SPARKS (MANAGER)
(609) 654-7222
Entity
Organization
Contact information
Practice address
10A JENNINGS RD, MEDFORD, NJ 08055-9524
(609) 654-7222
(609) 654-7224
Mailing address
10A JENNINGS RD, MEDFORD, NJ 08055-9524
(609) 654-7222
(609) 654-7224
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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