Whalio Doctors

NPI 1043766462

Reliable Health Care

Organisation Early Intervention Provider Agency Bogota, NJ

Practice location

Address
172 Palisade Ave, Bogota, NJ 07603-1634
Phone
(201) 820-4365

Authorised official

Name
Ingy Adam
Title
Service Coordinator
Phone
(845) 527-6496

Registered specialties (2)

Early Intervention Provider Agency Primary
Agencies Taxonomy 252Y00000X Licence 252Y00000X (NY)
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320600000X Licence 323700000X (NY)

Registry record

NPI
1043766462
Entity type
Organization
NPI issued
26 Aug 2016
Record last updated
26 Aug 2016

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.