Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dear Jaffa LLC

Organization Community/Behavioral Health Agency · NPI 1790546901

Dear Jaffa LLC is a Community/Behavioral Health Agency in Mount Laurel, New Jersey. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

309 Fellowship Road East Gate Ctr Ste 200
Mount Laurel, NJ 08054
Phone: (347) 458-5494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X

Record details

NPI number1790546901
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shimara Watson — President · (347) 458-5494
NPI enumeratedJanuary 16, 2024
Last updated in NPPESMarch 12, 2024
Certification dateMarch 12, 2024
Mailing address76 Sisters Farmstead Dr, Mount Laurel, NJ 08054-1448

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