Organization
KENNEDY & KARING ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE RADCLIFFE (OWNER)
(856) 215-0399
Entity
Organization
Contact information
Practice address
900 ROUTE 168 BUILDING E1, SUITE 7, BLACKWOOD, NJ 08012-3208
(856) 215-0399
Mailing address
7 OAK HOLLOW LN, SICKLERVILLE, NJ 08081-3908
(856) 215-0399
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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