Provider Demographics
NPI:1013756766
Name:HAITIAN AMERICAN CAUCUS
Entity type:Organization
Organization Name:HAITIAN AMERICAN CAUCUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SOCIAL SERVICES.
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUELLA
Authorized Official - Middle Name:M
Authorized Official - Last Name:VALME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:475-225-5331
Mailing Address - Street 1:941 WHITE HORSE AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08610-1407
Mailing Address - Country:US
Mailing Address - Phone:718-607-6474
Mailing Address - Fax:
Practice Address - Street 1:941 WHITE HORSE AVE STE 1
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08610-1407
Practice Address - Country:US
Practice Address - Phone:718-607-6474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No251X00000XAgenciesSupports Brokerage