Center For Human Growth & Devlp | |
1640 Anderson Avenue Fort Lee NJ 07024 | |
(201) 944-8635 | |
Not Available |
Full Name | Center For Human Growth & Devlp |
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Speciality | Social Worker - Clinical |
Location | 1640 Anderson Avenue, Fort Lee, New Jersey |
Authorized Official Name and Position | Ruth Portnoy (CO DIRECTOR) |
Authorized Official Contact | 2019448635 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Center For Human Growth & Devlp 1640 Anderson Avenue Fort Lee NJ 07024 Ph: (201) 944-8635 | Center For Human Growth & Devlp 1640 Anderson Avenue Fort Lee NJ 07024 Ph: (201) 944-8635 |
NPI Number | 1932389855 |
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Provider Enumeration Date | 11/08/2007 |
Last Update Date | 04/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932389855 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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