Organization
THE DOMINGO CENTER
Active
Parent organization
FOUR CORNERS COMMUNITY SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOUR CORNERS COMMUNITY SERVICES LLC
Authorized official
MS. AMA J BAFFOE RN (EXECUTIVE DIRECTOR)
(973) 436-4704
Entity
Organization
Contact information
Practice address
216 19TH ST FL 2, UNION CITY, NJ 07087-5440
(973) 436-4704
(973) 436-4714
Mailing address
209 PASSAIC AVE, BELLEVILLE, NJ 07109-1960
(973) 436-4704
(973) 436-4714
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
11/15/2025
Last updated
06/17/2026
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