| Ccs - Partenership For Children | |
|
1160 Raymond Blvd Newark NJ 07102-4168 | |
| (973) 596-4103 | |
| Not Available |
| Full Name | Ccs - Partenership For Children |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1160 Raymond Blvd, Newark, New Jersey |
| Authorized Official Name and Position | Alan Daul (DIRECTOR) |
| Authorized Official Contact | 9735964100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ccs - Partenership For Children 1160 Raymond Blvd Newark NJ 07102-4168 Ph: (973) 596-4103 | Ccs - Partenership For Children 1160 Raymond Blvd Newark NJ 07102-4168 Ph: (973) 596-4103 |
| NPI Number | 1740344076 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740344076 | NPI | - | NPPES |
| 0020591 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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