Provider Demographics
NPI:1144770868
Name:CTJ TOUCH OF LOVE. INC
Entity Type:Organization
Organization Name:CTJ TOUCH OF LOVE. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:MISS
Authorized Official - First Name:CONNCETTA
Authorized Official - Middle Name:BERNICE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSE MASTER OF SO
Authorized Official - Phone:646-391-4544
Mailing Address - Street 1:1212 OGDEN AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10452-3541
Mailing Address - Country:US
Mailing Address - Phone:646-391-4544
Mailing Address - Fax:
Practice Address - Street 1:1212 OGDEN AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10452-3541
Practice Address - Country:US
Practice Address - Phone:646-391-4544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-05
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY04788-1252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency