Organization
BELIEVENJ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. QIANA LAVIENA (EXECUTIVE DIRECTOR)
(973) 444-4164
Entity
Organization
Contact information
Practice address
700 COVENTRY DRIVE, PHILLIPSBURG, NJ 08865-1972
(908) 213-5223
Mailing address
700 COVENTRY DRIVE, PHILLIPSBURG, NJ 08865-1972
(908) 213-5223
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/17/2023
Last updated
01/26/2024
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