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Organization subpart
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Provider details

NPI number
Authorized official
TIFFANIE MCRAE (DIRECTOR/OWNER)
(501) 791-4439
Entity
Organization

Contact information

Practice address
22 RETFORD CT, LUMBERTON, NJ 08048-5026
(501) 791-4439
Mailing address
22 RETFORD CT, LUMBERTON, NJ 08048-5026

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
08/12/2025
Last updated
08/12/2025
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