Organization
WHOLE KIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTEN M SYLVESTER MS, NCSP, BCBA (CEO)
(973) 932-9086
Entity
Organization
Contact information
Practice address
34 VALLEY RD, BOONTON, NJ 07005-9160
(973) 610-2606
Mailing address
34 VALLEY RD, BOONTON, NJ 07005-9160
(973) 610-2606
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
11210493
NJ
Other
Enumeration date
11/05/2014
Last updated
12/26/2014
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