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1345 Orange Ave Union NJ 07083-5243 | |
| (908) 416-7769 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1345 Orange Ave, Union, New Jersey |
| Authorized Official Name and Position | Robert Eugene Verhoeven (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9084994959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1345 Orange Ave Union NJ 07083-5243 Ph: (908) 416-7769 | 1345 Orange Ave Union NJ 07083-5243 Ph: (908) 416-7769 |
| NPI Number | 1336671528 |
|---|---|
| Provider Enumeration Date | 03/28/2017 |
| Last Update Date | 04/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336671528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-16-21774 (New Jersey) | Secondary |
| 251S00000X | Community/behavioral Health | 1-16-21774 (New Jersey) | Primary |
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