Provider Demographics
NPI:1760729305
Name:GOD SQUAD, INC.
Entity Type:Organization
Organization Name:GOD SQUAD, INC.
Other - Org Name:NEHEMIAH PROJECT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:DOC OF MIN
Authorized Official - Phone:732-213-6577
Mailing Address - Street 1:15 WHITEHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08048-5010
Mailing Address - Country:US
Mailing Address - Phone:609-518-7082
Mailing Address - Fax:
Practice Address - Street 1:15 WHITEHAVEN DR
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048-5010
Practice Address - Country:US
Practice Address - Phone:732-213-6577
Practice Address - Fax:609-518-1191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management