Organization
PURPOSEFUL DNA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANISSA RICHARD-JONES MA (DIRECTOR)
(757) 201-8083
Entity
Organization
Contact information
Practice address
600 GETTY AVE STE 112, CLIFTON, NJ 07011-2161
(757) 201-8083
Mailing address
600 GETTY AVE STE 112, CLIFTON, NJ 07011-2161
(757) 201-8083
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
10/09/2019
Last updated
08/05/2024
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