Organization
VOTUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERIKA GRISSELLE MORALES-MONTALVO (OWNER)
(973) 368-5191
Entity
Organization
Contact information
Practice address
263 ELLERY AVE, NEWARK, NJ 07106-2926
(973) 368-5191
Mailing address
263 ELLERY AVE, NEWARK, NJ 07106-2926
(973) 368-5191
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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