Organization
FOUR CORNERS COMMUNITY SERVICES LLC
Active
Parent organization
FOUR CORNERS COMMUNITY SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOUR CORNERS COMMUNITY SERVICES LLC
Authorized official
MS. AMA J BAFFOE RN (EXECUTIVE DIRECTOR)
(973) 210-6066
Entity
Organization
Contact information
Practice address
200 MAIN ST, GLEN GARDNER, NJ 08826-3616
(973) 436-4704
(973) 436-4714
Mailing address
209 PASSAIC AVE FL 1, BELLEVILLE, NJ 07109-1960
(973) 436-4704
(973) 436-4714
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
11/15/2025
Last updated
11/15/2025
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