| Adestiny's Horizon | |
|
199 Railroad Ave Ste 3b East Rutherford NJ 07073-1915 | |
| (973) 380-4994 | |
| (973) 679-2784 |
| Full Name | Adestiny's Horizon |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 199 Railroad Ave Ste 3b, East Rutherford, New Jersey |
| Authorized Official Name and Position | Ida Alston (FOUNDER) |
| Authorized Official Contact | 9733804994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adestiny's Horizon 199 Railroad Ave Ste 3b East Rutherford NJ 07073-1915 Ph: (973) 380-4994 | Adestiny's Horizon 199 Railroad Ave Ste 3b East Rutherford NJ 07073-1915 Ph: (973) 380-4994 |
| NPI Number | 1609021773 |
|---|---|
| Provider Enumeration Date | 11/17/2008 |
| Last Update Date | 02/13/2024 |
| Certification Date | 02/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609021773 | NPI | - | NPPES |
| 0161675 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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