Healthcare Provider Details
I. General information
NPI: 1861042475
Provider Name (Legal Business Name): SAYDAH'S CAREER PLANNING ADVENTURE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/16/2019
Last Update Date: 09/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
156 SPRUCE ST
NEWARK NJ
07103-3355
US
IV. Provider business mailing address
156 SPRUCE ST
NEWARK NJ
07103-3355
US
V. Phone/Fax
- Phone: 973-745-3406
- Fax:
- Phone: 973-745-3406
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251V00000X |
| Taxonomy | Voluntary or Charitable Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385HR2065X |
| Taxonomy | Child Physical Disabilities Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SAYDAH
B
MAIGA
Title or Position: PRESIDENT
Credential:
Phone: 973-745-3406