| Bethany Christian Services | |
|
12-19 River Rd Fair Lawn NJ 07410-1843 | |
| (201) 703-4371 | |
| (201) 703-4376 |
| Full Name | Bethany Christian Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 12-19 River Rd, Fair Lawn, New Jersey |
| Authorized Official Name and Position | Nancy Dykstra-powers (DIRECTOR) |
| Authorized Official Contact | 2017034371 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany Christian Services 12-19 River Rd Fair Lawn NJ 07410-1843 Ph: (201) 703-4371 | Bethany Christian Services 12-19 River Rd Fair Lawn NJ 07410-1843 Ph: (201) 703-4371 |
| NPI Number | 1346675378 |
|---|---|
| Provider Enumeration Date | 09/10/2013 |
| Last Update Date | 09/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346675378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC00273700 (New Jersey) | Primary |
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