Organization
SOON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD L COHN (MANAGER)
(917) 903-9877
Entity
Organization
Contact information
Practice address
40 EAGLE RIDGE WAY, WEST ORANGE, NJ 07052-4209
(917) 903-9877
Mailing address
40 EAGLE RIDGE WAY, WEST ORANGE, NJ 07052-4209
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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