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Nikel S Myrick
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Newark, New Jersey
NPI 1144509159

Nikel S Myrick is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Newark, NJ. Nikel S Myrick practices in Newark, NJ. The NPI Number for Nikel S Myrick is 1144509159 and holds a License No. (New Jersey).

The current practice location address for Nikel S Myrick is 784 Clinton Ave, Newark, NJ and can be reached out via phone at 973-395-6908. You can also correspond with Nikel S Myrick through the mailing address at 250 ROSEVILLE AVE., NEWARK, NJ - 07107 (mailing address contact number: 973-395-6908).

Location: 784 Clinton Ave, Newark, NJ, 07107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144509159
Provider Name
Nikel S Myrick
Credential
Provider Entity Type
Individual
Gender
Female
Address
784 Clinton Ave, Newark, NJ, 07107
Phone Number
973-395-6908
Fax Number
Provider Enumeration Date
08/08/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
784 Clinton Ave
City
Newark
State
New Jersey
Zip
07108-1045
Phone Number
973-395-6908
Fax Number
person
Provider Business Mailing Address Details
Address
250 Roseville Ave.
City
Newark
State
New Jersey
Zip
07107
Phone Number
973-395-6908
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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