Organization
IYAHO SOCIAL SERVICES INCORPORATION
Active
Other names
NA
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY EROMOSELE EXECUTIVE DIRECTOR (EXECUTIVE DIRECTOR)
(516) 280-5930
Entity
Organization
Contact information
Practice address
137 EVERGREEN PL # 3, EAST ORANGE, NJ 07018-2005
(917) 601-0669
Mailing address
71 N FRANKLIN ST # 211, HEMPSTEAD, NY 11550-3048
(516) 280-5930
(516) 280-5933
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
10
NJ
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
2510000X
NJ
252Y00000X
Early Intervention Provider Agency
25
NJ
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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