Organization
PREMIER ACCESS COMMUNITY AND RESIDENTIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAIMAH CALLOWAY MA, CCC-SLP (OWNER, CEO)
(973) 704-9589
Entity
Organization
Contact information
Practice address
2115 MILLBURN AVE STE 100, MAPLEWOOD, NJ 07040-3724
(973) 704-9589
Mailing address
2115 MILLBURN AVE STE 100, MAPLEWOOD, NJ 07040-3724
(973) 704-9589
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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