Provider Demographics
NPI:1639443112
Name:TJYGCP INC
Entity Type:Organization
Organization Name:TJYGCP INC
Other - Org Name:THE JREAMWRITER YOUNG GLOBAL CITIZENS PROGRAM INC
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-609-3396
Mailing Address - Street 1:4142 OGLETOWN STANTON RD
Mailing Address - Street 2:SUITE 251
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-4169
Mailing Address - Country:US
Mailing Address - Phone:888-609-3396
Mailing Address - Fax:800-604-7209
Practice Address - Street 1:347 CLIFFWOOD AVE
Practice Address - Street 2:SUITE B
Practice Address - City:CLIFFWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07721-1131
Practice Address - Country:US
Practice Address - Phone:888-609-3396
Practice Address - Fax:800-609-3396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-01
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No251S00000XAgenciesCommunity/Behavioral Health