Organization
SELF CARE ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANIELLE D JONES (OWNER/CEO)
(732) 527-8398
Entity
Organization
Contact information
Practice address
180 SCOTLAND RD APT 8, ORANGE, NJ 07050-1443
(732) 527-8398
Mailing address
180 SCOTLAND RD APT 8, ORANGE, NJ 07050-1443
(732) 527-8398
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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