Provider Demographics
NPI:1780092254
Name:EDUCATION CAFE AND ENTERTAINMENT LLC
Entity type:Organization
Organization Name:EDUCATION CAFE AND ENTERTAINMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE
Authorized Official - Prefix:DR
Authorized Official - First Name:VIOLET
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRETT PATERSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:609-406-1336
Mailing Address - Street 1:3 ARAGON CT
Mailing Address - Street 2:
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08628-2232
Mailing Address - Country:US
Mailing Address - Phone:609-406-1336
Mailing Address - Fax:609-771-9473
Practice Address - Street 1:3 ARAGON CT
Practice Address - Street 2:
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08628-2232
Practice Address - Country:US
Practice Address - Phone:609-406-1336
Practice Address - Fax:609-771-9473
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EDUCATION CAFE AND ENTERTAINMENT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-07-29
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No111NX0100XChiropractic ProvidersChiropractorOccupational HealthGroup - Multi-Specialty
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, MetabolicGroup - Multi-Specialty
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Multi-Specialty
No152WX0102XEye and Vision Services ProvidersOptometristOccupational VisionGroup - Multi-Specialty
No163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)Group - Multi-Specialty
No173F00000XOther Service ProvidersSleep Specialist, PhDGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty