Healthcare Provider Details

I. General information

NPI: 1548174758
Provider Name (Legal Business Name): THEIR PLACE, INC. - CHILDRENS SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 SOUTH AVENUE
ATLANTIC HIGHLANDS NJ
07716
US

IV. Provider business mailing address

50 SOUTH AVENUE
ATLANTIC HIGHLANDS NJ
07716
US

V. Phone/Fax

Practice location:
  • Phone: 848-212-4342
  • Fax:
Mailing address:
  • Phone: 848-212-4342
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateNULL

VIII. Authorized Official

Name: LEO SANTOS
Title or Position: CFO
Credential:
Phone: 848-212-4342