Access Psychiatric And Behavioral Services. | |
1235 Morris Ave Ste 1 Union NJ 07083-3344 | |
(908) 258-7759 | |
(908) 469-2135 |
Full Name | Access Psychiatric And Behavioral Services. |
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Speciality | Clinic/Center |
Location | 1235 Morris Ave Ste 1, Union, New Jersey |
Authorized Official Name and Position | Manfred Kanu Obi (OWNER) |
Authorized Official Contact | 9739510653 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Access Psychiatric And Behavioral Services. Po Box 5087 Hillside NJ 07205-5087 Ph: (973) 951-0653 | Access Psychiatric And Behavioral Services. 1235 Morris Ave Ste 1 Union NJ 07083-3344 Ph: (908) 258-7759 |
NPI Number | 1992941561 |
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Provider Enumeration Date | 01/01/2009 |
Last Update Date | 11/10/2010 |
Medicare PECOS PAC ID | 5496808594 |
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Medicare Enrollment ID | O20090807000233 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992941561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 0400263786 (New Jersey) | Primary |
Provider Name | Manfred Obi |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1467634360 PECOS PAC ID: 6507919602 Enrollment ID: I20090807000219 |
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