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Lakisha Robinson
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Matawan, New Jersey
NPI 1700652187

Lakisha Robinson is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Matawan, NJ. Lakisha Robinson practices in Matawan, NJ. The NPI Number for Lakisha Robinson is 1700652187 and holds a License No. (New Jersey).

The current practice location address for Lakisha Robinson is 66 Lower Main St, Matawan, NJ and can be reached out via phone at 732-213-8080.

Location: 66 Lower Main St, Matawan, NJ, 07747-1094
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700652187
Provider Name
Lakisha Robinson
Credential
Provider Entity Type
Individual
Gender
Female
Address
66 Lower Main St, Matawan, NJ, 07747-1094
Phone Number
732-213-8080
Fax Number
Provider Enumeration Date
11/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
66 Lower Main St
City
Matawan
State
New Jersey
Zip
07747-1094
Phone Number
732-213-8080
Fax Number
person
Provider Business Mailing Address Details
Address
66 Lower Main St
City
Matawan
State
New Jersey
Zip
07747-1094
Phone Number
732-213-8080
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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