Organization
THE IN-HOME PARENT COACH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON JOHNSON LCSW (SINGLE MANAGING MEMBER)
(201) 315-4151
Entity
Organization
Contact information
Practice address
709 10TH ST, UNION CITY, NJ 07087-5501
(201) 315-4151
Mailing address
709 10TH ST, UNION CITY, NJ 07087-5501
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
44SC05409700
NJ
Other
Enumeration date
02/02/2014
Last updated
02/02/2014
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