| Buddies Of New Jersey Inc | |
|
149 Hudson St Hackensack NJ 07601-6823 | |
| (201) 489-2900 | |
| Not Available |
| Full Name | Buddies Of New Jersey Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 149 Hudson St, Hackensack, New Jersey |
| Authorized Official Name and Position | Emil Vitale (CLINICAL 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 149 Hudson St Hackensack NJ 07601-6823 Ph: (201) 489-2900 |
| NPI Number | 1356685838 |
|---|---|
| Provider Enumeration Date | 11/21/2012 |
| Last Update Date | 11/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356685838 | NPI | - | NPPES |
| 0250431 | Other | NJ | PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2000295-08 (New Jersey) | Primary |
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