Individual
CATHERINE C SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HEALTH CARE
Contact information
Practice address
683 S 14TH ST FL 1, NEWARK, NJ 07103-1410
(868) 275-9081
Mailing address
683 S 14TH ST FL 1, NEWARK, NJ 07103-1410
(862) 275-0971
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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