| Aviv Wellness Center Llc | |
|
2101 Lake Rd Whiting NJ 08759-2354 | |
| (848) 299-6268 | |
| Not Available |
| Full Name | Aviv Wellness Center Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2101 Lake Rd, Whiting, New Jersey |
| Authorized Official Name and Position | Brocha Miller (COO) |
| Authorized Official Contact | 8482996268 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aviv Wellness Center Llc 300 Tice Blvd Ste 170 Woodcliff Lake NJ 07677-8405 Ph: (848) 299-6268 | Aviv Wellness Center Llc 2101 Lake Rd Whiting NJ 08759-2354 Ph: (848) 299-6268 |
| NPI Number | 1669182960 |
|---|---|
| Provider Enumeration Date | 11/29/2022 |
| Last Update Date | 11/29/2022 |
| Certification Date | 11/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669182960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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