NPI 1144986811
Four Corners Community Services LLC
Practice location
- Address
- 66 Moore St Fl 2, Hackensack, NJ 07601-7104
- Phone
- (973) 392-0430
- Mailing address
- 209 Passaic Ave, Belleville, NJ 07109-1960
Authorised official
- Name
- Ama J Baffoe
- Title
- Executive Director
- Phone
- (973) 392-0430
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1144986811
- Entity type
- Organization
- NPI issued
- 16 Nov 2021
- Record last updated
- 16 Nov 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.