Individual provider · Type 1 NPI
Siabehti John
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Somerset, NJ
Practice location
52 Bolton Ct
Somerset, NJ 08873-4742
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 1457082562
Siabehti John's National Provider Identifier is 1457082562, issued on Jun 20, 2022. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Somerset, NJ. The record was last updated on Jan 16, 2025.