Organization
TAROHR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI AL-BADRY (CHIEF EXECUTIVE OFFICER)
(531) 220-6784
Entity
Organization
Contact information
Practice address
221 RIVER ST, HOBOKEN, NJ 07030-5989
(531) 220-6784
Mailing address
3410 W GARFIELD ST FL 9, LINCOLN, NE 68522-9143
(531) 220-6784
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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