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NPI Profile for FOUR CORNERS COMMUNITY SERVICES LLC in GLEN GARDNER, NJ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Intellectual & Developmental Disabilities |
103TM1800X | 62 | Psychologist, Clinical | |
Adult Day Care |
261QA0600X | |||
Community/Behavioral Health |
251S00000X | |||
Day Training, Developmentally Disabled Services |
251C00000X | |||
Developmental Disabilities |
261QD1600X | |||
Respite Care, Physical Disabilities, Child |
385HR2065X | |||
Supports Brokerage |
251X00000X |
| NPI Number | 1982564597 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 11/15/2025 | |
| Last updated | 11/15/2025 - About 7 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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FOUR CORNERS COMMUNITY SERVICES LLC