| A Place For The Family | |
|
1108 Stuyvesant Ave Apt A Irvington NJ 07111-5112 | |
| (929) 333-6531 | |
| Not Available |
| Full Name | A Place For The Family |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1108 Stuyvesant Ave Apt A, Irvington, New Jersey |
| Authorized Official Name and Position | Priscilla D Adu-antoh (OWNER) |
| Authorized Official Contact | 9293336531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Place For The Family 1108 Stuyvesant Ave Apt A Irvington NJ 07111-5112 Ph: (929) 333-6531 | A Place For The Family 1108 Stuyvesant Ave Apt A Irvington NJ 07111-5112 Ph: (929) 333-6531 |
| NPI Number | 1447957394 |
|---|---|
| Provider Enumeration Date | 02/10/2023 |
| Last Update Date | 07/24/2024 |
| Certification Date | 07/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447957394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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