| NPI Details | |
|---|---|
| NPI | 1093970741 |
| Enumeration Date | 07/22/2008 |
| Last Updated | 07/22/2008 |
| Entity Type | Healthcare Provider |
| Active | Over 9 years ago |
| Authorized Information | |
|---|---|
| Name | PATT OLUWASINA PATT |
| Position | PRESIDENT/CEO |
| Phone | (973) 204-2210 |
| Fax | (973) 991-1257 |
| Practice Location | |
|---|---|
| 39 WAINWRIGHT ST NEWARK NJ, 07112-1333, US |
|
| Phone | (973) 204-2210 |
| Fax | (973) 991-1257 |
| Business Location | |
|---|---|
| PO BOX 8774 NEWARK NJ, 07108-0774, US |
|
| Phone | (973) 204-2210 |
| Fax | (973) 991-1257 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 251S00000X |
| License State | New Jersey |
| License Number | 0161616 |
| Remove 1093970741 NPI Number | |
According to our database, Good Friends Of Children With Childhood Developmental Disabilities NPI is 1093970741, taxonomy code is 251S00000X and license number is 0161616, license state is located at New Jersey. Good Friends Of Children With Childhood Developmental Disabilities physically located at 39 Wainwright St, Newark NJ, 07112-1333. NPI Number 1033115704 has the healthcare provider type.
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1093970741 NPI number is provided on an as is basis without warranty of any kind. 1093970741 is maintained by the National Plan & Provider Enumeration System. The contents of Good Friends Of Children With Childhood Developmental Disabilities are for informational purposes only.
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