FOUR CORNERS COMMUNITY SERVICES LLC NPI 1982564597

NPI Information

  • NPI: 1982564597
  • Provider Name: FOUR CORNERS COMMUNITY SERVICES LLC
  • Classification: Psychologist - 103TM1800X
  • Specialization: Intellectual and Developmental Disabilities
  • Entity Type: Organization
  • Address: 200 MAIN ST
    GLEN GARDNER, NJ
    ZIP 08826
  • Phone: (973) 436-4704

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NPI Details

FOUR CORNERS COMMUNITY SERVICES LLC is an intellectual and developmental disabilities in Glen Gardner, NJ. FOUR CORNERS COMMUNITY SERVICES LLC NPI is 1982564597. The provider is registered as an organization entity type.

The provider's business location address is:

200 MAIN ST
GLEN GARDNER, NJ
ZIP 08826-616
Phone: (973) 436-4704
Fax: (973) 436-4714

The provider's authorized official is Ama J Baffoe .
The authorized official title is Executive Director and has the following contact phone number (973) 210-6066.

The enumeration date for this NPI number is 11/15/2025 and was last updated on 11/15/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251C00000XDay Training, Developmentally Disabled ServicesNo
2251S00000XCommunity/Behavioral HealthNo
3385HR2065XRespite CareRespite Care, Physical Disabilities, ChildNo
4251X00000XSupports BrokerageNo
5261QA0600XClinic/CenterAdult Day CareNo
6261QD1600XClinic/CenterDevelopmental DisabilitiesNo
7103TM1800XPsychologistIntellectual and Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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