Individual provider · Type 1 NPI
Lakisha Robinson
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Matawan, NJ
Practice location
66 Lower Main St
Matawan, NJ 07747-1094
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 1700652187
Lakisha Robinson's National Provider Identifier is 1700652187, issued on Nov 28, 2023. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Matawan, NJ. The record was last updated on Nov 28, 2023.