Organization
CAROLS CORNER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERAUNE WITCHER (CEO/ OWNER)
(856) 264-4531
Entity
Organization
Contact information
Practice address
1 COUNTRYSIDE CIR, CLAYTON, NJ 08312-1980
(856) 264-4531
Mailing address
1 COUNTRYSIDE CIR, CLAYTON, NJ 08312-1980
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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