Whalio Doctors

NPI 1023455045

Stp Up-4 Developmental Disabilities

Organisation Developmentally Disabled Services Day Training Agency North Bergen, NJ

Practice location

Address
9060 Palisade Ave Suite003, North Bergen, NJ 07047-6137
Phone
(201) 647-0407
Mailing address
2339 Hudson Ter Siutte B5-A, Fort Lee, NJ 07024-7930

Authorised official

Name
Leonor Javier
Title
Ceo
Phone
(201) 647-0407

Registered specialties (2)

Developmentally Disabled Services Day Training Agency Primary
Agencies Taxonomy 251C00000X Licence QUALIFIED PROVIDER (NJ)
Private Vehicle
Transportation Services Taxonomy 347C00000X Licence QUALIFIED PROVIDER (NJ)

Registry record

NPI
1023455045
Entity type
Organization
NPI issued
31 May 2013
Record last updated
31 May 2013

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.