NPI 1669910725

Making a Difference in Teens and Young Adults

Organisation Case Management Agency Irvington, NJ

Practice location

Address: 1035 Sanford Ave, Irvington, NJ 07111-1946
Phone: (973) 652-4199

Authorised official

Name: Lashun Goodman
Title: Ceo
Phone: (973) 652-4199

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

Other Case Management providers in New Jersey →

Registry record

NPI: 1669910725
Entity type: Organization
NPI issued: 8 Feb 2017
Record last updated: 8 Feb 2017

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.