Provider Demographics
NPI:1699510644
Name:KASEFA FOUNDATION
Entity type:Organization
Organization Name:KASEFA FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHENISA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANGARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-417-8742
Mailing Address - Street 1:5 FRANKLIN AVE STE G5
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-3504
Mailing Address - Country:US
Mailing Address - Phone:973-417-8742
Mailing Address - Fax:
Practice Address - Street 1:10 SPRING HILL DR STE G-5
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-2412
Practice Address - Country:US
Practice Address - Phone:973-417-8742
Practice Address - Fax:973-751-7172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & AgingGroup - Single Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services