Healthcare Provider Details

I. General information

NPI: 1467339887
Provider Name (Legal Business Name): SPECTRUM CITY RECLAIMING OUR YOUTH AND FAMILIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2025
Last Update Date: 09/01/2025
Certification Date: 09/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 VINCENT AVE
HACKENSACK NJ
07601-1018
US

IV. Provider business mailing address

280 VINCENT AVE
HACKENSACK NJ
07601-1018
US

V. Phone/Fax

Practice location:
  • Phone: 551-340-9544
  • Fax:
Mailing address:
  • Phone: 551-340-9544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: NAKIA HENRY
Title or Position: FOUNDER/CEO
Credential:
Phone: 551-340-9544