| Abacue Clinic Llc | |
|
1124 Applegate Ave Elizabeth NJ 07202-2404 | |
| (732) 423-7114 | |
| Not Available |
| Full Name | Abacue Clinic Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1124 Applegate Ave, Elizabeth, New Jersey |
| Authorized Official Name and Position | Ugochi Abazie (ADVANCE PRACTICE NURSE) |
| Authorized Official Contact | 7324237114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abacue Clinic Llc 1124 Applegate Ave Elizabeth NJ 07202-2404 Ph: () - | Abacue Clinic Llc 1124 Applegate Ave Elizabeth NJ 07202-2404 Ph: (732) 423-7114 |
| NPI Number | 1851969257 |
|---|---|
| Provider Enumeration Date | 06/14/2021 |
| Last Update Date | 06/14/2021 |
| Certification Date | 06/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851969257 | NPI | - | NPPES |
| 0712078 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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