| Adolescent Day Services | |
|
1320 N Willow St Trenton NJ 08638-4526 | |
| (609) 396-0800 | |
| (609) 396-0881 |
| Full Name | Adolescent Day Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1320 N Willow St, Trenton, New Jersey |
| Authorized Official Name and Position | Leichena M Bodie (DIRECTOR) |
| Authorized Official Contact | 6093960800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adolescent Day Services 1320 N Willow St Trenton NJ 08638-4526 Ph: (609) 396-0800 | Adolescent Day Services 1320 N Willow St Trenton NJ 08638-4526 Ph: (609) 396-0800 |
| NPI Number | 1972788685 |
|---|---|
| Provider Enumeration Date | 01/02/2008 |
| Last Update Date | 01/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972788685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 44SC05345200 (New Jersey) | Primary |
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