Organization
DEVELOPMENTAL DISABILITY AWARENESS WITH LOVE (DDAWL)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYQUAN GRIFFIN (EXECUTIVE DIRECTOR)
(973) 223-5197
Entity
Organization
Contact information
Practice address
338 W MAIN ST, BOONTON, NJ 07005-1148
(973) 223-5197
Mailing address
338 W MAIN ST, BOONTON, NJ 07005-1148
(973) 588-5370
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
05/09/2023
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