| Bright Side Of The Moon Llc | |
|
3431 Bridge Ave Unit 20 Point Pleasant Boro NJ 08742-2745 | |
| (732) 644-3912 | |
| Not Available |
| Full Name | Bright Side Of The Moon Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3431 Bridge Ave, Point Pleasant Boro, New Jersey |
| Authorized Official Name and Position | Nicole Lempa (OWNER/BCBA) |
| Authorized Official Contact | 7326443912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Side Of The Moon Llc 3431 Bridge Ave Unit 20 Point Pleasant Boro NJ 08742-2745 Ph: (732) 644-3912 | Bright Side Of The Moon Llc 3431 Bridge Ave Unit 20 Point Pleasant Boro NJ 08742-2745 Ph: (732) 644-3912 |
| NPI Number | 1578911715 |
|---|---|
| Provider Enumeration Date | 05/27/2016 |
| Last Update Date | 05/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578911715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1-11-9018 (* (Not Available)) | Primary |
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