is a Community/behavioral Health in Wayne, New Jersey. practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for is 1558411868. The last update date is .
's current location address is 1022 Hamburg Tpke, Wayne, New Jersey. You can contact this provider via phone number 9736941234 and fax number 9736330992. The mailing address for is 1022 Hamburg Tpke, Wayne, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1022 Hamburg Tpke, Wayne, New Jersey |
| Phone Number | 9736941234 |
| Fax Number | 9736330992 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1558411868 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1022 Hamburg Tpke |
|---|---|
| City | Wayne |
| State | New Jersey (NJ) |
| Post Code | 74703209 |
| Phone Number | 9736941234 |
| Fax Number | 9736330992 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | 44SC05301500 |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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