Healthcare Provider Details

I. General information

NPI: 1467150391
Provider Name (Legal Business Name): ALLTHINGSDAVINA A NJ NONPROFIT ORGANIZATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2023
Last Update Date: 02/20/2023
Certification Date: 02/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 STUYVESANT AVE APT 2
IRVINGTON NJ
07111-2002
US

IV. Provider business mailing address

418 STUYVESANT AVE APT 2
IRVINGTON NJ
07111-2002
US

V. Phone/Fax

Practice location:
  • Phone: 862-384-1832
  • Fax:
Mailing address:
  • Phone: 347-346-0204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: DANICA D BRAMWELL
Title or Position: OWNER
Credential:
Phone: 862-384-1832