Organization
LIFE EXPERIENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANIYAH MINTZ (PROVIDER)
(973) 860-8899
Entity
Organization
Contact information
Practice address
2201 HARRY AND JUDY DR, MORRIS PLAINS, NJ 07950-1373
(973) 860-8899
Mailing address
2201 HARRY AND JUDY DR, MORRIS PLAINS, NJ 07950-1373
(973) 860-8899
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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