Organization
WOMEN AT YOUR SIDE AND COMMUNITY SERVICES LLC
Active
Other names
Women at Your Side and Community Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERNELL MACKIE CPLC, CCTS, CDVS (CO-OWNER)
(862) 704-4829
Entity
Organization
Contact information
Practice address
110 DAWN RD, MILFORD, NJ 08848-1134
(908) 347-1290
Mailing address
259 MERCER ST, PHILLIPSBURG, NJ 08865-3132
(862) 704-4829
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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