Organization
HE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY PARMLEY (CEO)
(609) 686-3371
Entity
Organization
Contact information
Practice address
191 IVY ST, NEWARK, NJ 07106-2840
(973) 801-3208
Mailing address
191 IVY ST, NEWARK, NJ 07106-2840
(973) 801-3208
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/20/2025
Last updated
09/20/2025
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