Individual provider · Type 1 NPI

Tonya Denise Korsah

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Montclair, NJ

NPI number 1427866979 Active

Practice location

18-20 Lackawanna Plz
Montclair, NJ 07042-3642

Call (973) 969-1081 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone 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.

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About NPI 1427866979

Tonya Denise Korsah's National Provider Identifier is 1427866979, issued on Dec 30, 2024. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Montclair, NJ. The record was last updated on Dec 30, 2024.