NPI 1023455045
Stp Up-4 Developmental Disabilities
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
Private Vehicle
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.