| Amazing Supports Llc | |
|
59 Main St Ste 311 West Orange NJ 07052-5333 | |
| (908) 219-9026 | |
| Not Available |
| Full Name | Amazing Supports Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 59 Main St Ste 311, West Orange, New Jersey |
| Authorized Official Name and Position | Aslam Ali (CONSULTANT) |
| Authorized Official Contact | 9082199026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amazing Supports Llc Po Box 3111 West Orange NJ 07052-3061 Ph: () - | Amazing Supports Llc 59 Main St Ste 311 West Orange NJ 07052-5333 Ph: (908) 219-9026 |
| NPI Number | 1194291690 |
|---|---|
| Provider Enumeration Date | 10/23/2018 |
| Last Update Date | 01/29/2020 |
| Certification Date | 01/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194291690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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