Individual
CANDIDE PETIT PHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
514 MILLBURN AVE UNIT 1069, SHORT HILLS, NJ 07078-2508
(917) 495-2450
Mailing address
514 MILLBURN AVE UNIT 1069, SHORT HILLS, NJ 07078-2508
(917) 495-2450
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
NJ
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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