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Active
Organization subpart
No

Provider details

NPI number
Authorized official
ABIMBOLA GBOLAHAN ABIODUN (CEO)
(973) 356-9171
Entity
Organization

Contact information

Practice address
5306 BRISTOL DR, UNION, NJ 07083-2516
(973) 356-9171
Mailing address
PO BOX 28298, NEWARK, NJ 07101-2484
(240) 360-9252

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
07/13/2019
Last updated
09/19/2023
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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