| Buddies Of New Jersey, Inc. | |
|
61 Grand Ave 3rd Floor Englewood NJ 07631-3572 | |
| (914) 671-3924 | |
| (845) 942-1894 |
| Full Name | Buddies Of New Jersey, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 61 Grand Ave, Englewood, New Jersey |
| Authorized Official Name and Position | Mark S. Anderson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2014892900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buddies Of New Jersey, Inc. 149 Hudson St Hackensack NJ 07601-6823 Ph: (201) 489-2900 | Buddies Of New Jersey, Inc. 61 Grand Ave 3rd Floor Englewood NJ 07631-3572 Ph: (914) 671-3924 |
| NPI Number | 1881958817 |
|---|---|
| Provider Enumeration Date | 06/25/2012 |
| Last Update Date | 06/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881958817 | NPI | - | NPPES |
| 0250431 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (New Jersey) | Secondary |
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