| A Mindful Paws For Youth Llc | |
|
64 Illinois Ave Port Monmouth NJ 07758-1179 | |
| (908) 433-6651 | |
| Not Available |
| Full Name | A Mindful Paws For Youth Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 64 Illinois Ave, Port Monmouth, New Jersey |
| Authorized Official Name and Position | Lauren Tenenbaum (OWNER) |
| Authorized Official Contact | 7327887619 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Mindful Paws For Youth Llc 64 Illinois Ave Port Monmouth NJ 07758-1179 Ph: (908) 433-6651 | A Mindful Paws For Youth Llc 64 Illinois Ave Port Monmouth NJ 07758-1179 Ph: (908) 433-6651 |
| NPI Number | 1902528508 |
|---|---|
| Provider Enumeration Date | 09/12/2022 |
| Last Update Date | 09/12/2022 |
| Certification Date | 09/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902528508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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