Provider Demographics
NPI:1609680719
Name:ENRICHING LIFE'S FOR ADULTS
Entity type:Organization
Organization Name:ENRICHING LIFE'S FOR ADULTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LASHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLADIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-289-0655
Mailing Address - Street 1:18 PROSPECT ST APT 5B
Mailing Address - Street 2:
Mailing Address - City:SOUTH ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07079-2283
Mailing Address - Country:US
Mailing Address - Phone:973-289-0655
Mailing Address - Fax:
Practice Address - Street 1:18 PROSPECT ST APT 5B
Practice Address - Street 2:
Practice Address - City:SOUTH ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07079-2283
Practice Address - Country:US
Practice Address - Phone:973-289-0655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center