Autism Sports Academy | |
435 Hollywood Ave Ste 11 Fairfield NJ 07004-2406 | |
(551) 280-3172 | |
Not Available |
Full Name | Autism Sports Academy |
---|---|
Speciality | Community/behavioral Health |
Location | 435 Hollywood Ave Ste 11, Fairfield, New Jersey |
Authorized Official Name and Position | Phil Sgroi (TEACHER) |
Authorized Official Contact | 2016743363 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Autism Sports Academy 36 Melrose Ave North Arlington NJ 07031-5918 Ph: (551) 280-3172 | Autism Sports Academy 435 Hollywood Ave Ste 11 Fairfield NJ 07004-2406 Ph: (551) 280-3172 |
NPI Number | 1023795580 |
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Provider Enumeration Date | 06/28/2023 |
Last Update Date | 07/07/2023 |
Certification Date | 07/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023795580 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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