Organization
CLARK COMMUNITY CONNECTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA PAULETTE CLARK (LICENSEE)
(609) 571-5730
Entity
Organization
Contact information
Practice address
1200 STUYVESANT AVE APT A, TRENTON, NJ 08618-3484
(609) 571-5730
Mailing address
1200 STUYVESANT AVE APT A, TRENTON, NJ 08618-3484
(609) 571-5730
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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