Organization
MADISON'S PLACE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AVIA HENRY MSW (CEO/OWNER)
(201) 213-5658
Entity
Organization
Contact information
Practice address
1533 E 2ND ST APT C8, SCOTCH PLAINS, NJ 07076-1638
(201) 213-5658
Mailing address
PO BOX 102, EDISON, NJ 08818-0102
(201) 213-5658
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041S0200X
School Social Worker
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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