| Bounce Aba Llc | |
|
400 Boulevard Of Americas Lakewood NJ 08701-4785 | |
| (908) 906-6563 | |
| Not Available |
| Full Name | Bounce Aba Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 400 Boulevard Of Americas, Lakewood, New Jersey |
| Authorized Official Name and Position | Tova Eisemann (ADMINISTRATOR) |
| Authorized Official Contact | 9089066563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bounce Aba Llc 400 Boulevard Of Americas Lakewood NJ 08701-4785 Ph: () - | Bounce Aba Llc 400 Boulevard Of Americas Lakewood NJ 08701-4785 Ph: (908) 906-6563 |
| NPI Number | 1124768411 |
|---|---|
| Provider Enumeration Date | 04/01/2022 |
| Last Update Date | 04/01/2022 |
| Certification Date | 04/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124768411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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