Individual provider · Type 1 NPI
Tiffany Lecator
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Pine Hill, NJ
Practice location
828 Blackwood Clementon Rd Apt 104
Pine Hill, NJ 08021-6819
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1366840985
Tiffany Lecator's National Provider Identifier is 1366840985, issued on Dec 13, 2014. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Pine Hill, NJ. The record was last updated on Dec 13, 2014.