Centro Feed | |
114 Forest View Dr Avenel NJ 07001-2184 | |
(848) 467-1409 | |
Not Available |
Full Name | Centro Feed |
---|---|
Speciality | Psychologist - Health Service |
Location | 114 Forest View Dr, Avenel, New Jersey |
Authorized Official Name and Position | Candrick C. Darkashade (PRESIDENT-CEO) |
Authorized Official Contact | 8484671409 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Centro Feed 114 Forest View Dr Avenel NJ 07001-2184 Ph: (848) 467-1409 | Centro Feed 114 Forest View Dr Avenel NJ 07001-2184 Ph: (848) 467-1409 |
NPI Number | 1790306512 |
---|---|
Provider Enumeration Date | 05/04/2020 |
Last Update Date | 05/04/2020 |
Certification Date | 05/04/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790306512 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TH0100X | Psychologist - Health Service | (* (Not Available)) | Primary |
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