NPI 1013508605

Haki Yetu

Organisation Case Management Agency Newark, NJ

Practice location

Address: 743 S 12th St Fl 3, Newark, NJ 07103-1740
Phone: (646) 500-4600
Mailing address: 21 Doty Ave, Staten Island, NY 10305-4717

Authorised official

Name: Barbara Victome
Title: Executive Director
Phone: (646) 500-4600

Registered specialties (4)

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X

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Child Intellectual and/or Developmental Disabilities Respite Care

Respite Care Facility Taxonomy 385HR2060X

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Registry record

NPI: 1013508605
Entity type: Organization
NPI issued: 27 Jan 2021
Record last updated: 27 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.