Organization · NPI-2

Supportive Connections

Case Management · Brick, NJ

NPI number1104330331
StatusActive
Last updated in NPPESNov 27, 2017

Details

NPI
1104330331
Entity type
Organization (NPI-2)
Legal business name
Supportive Connections
Organization subpart
No
Enumeration date
Nov 27, 2017
Last updated
Nov 27, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management––Yes
385H00000X Respite Care––

Practice location

256 Cherry Quay Rd
Brick, NJ 08723-6306

Phone 732-610-1065

Mailing address

256 Cherry Quay Rd
Brick, NJ 08723-6306

Phone 732-610-1065

Authorized official

Stefanie Thomas
Director
7326101065

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