| Community Advancement And Transformation | |
|
28 Maple Ave West Orange NJ 07052-2408 | |
| (862) 202-6645 | |
| Not Available |
| Full Name | Community Advancement And Transformation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 28 Maple Ave, West Orange, New Jersey |
| Authorized Official Name and Position | Daniel Baskin (TREASURER) |
| Authorized Official Contact | 9734206209 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Advancement And Transformation 28 Maple Ave West Orange NJ 07052-2408 Ph: (862) 202-6645 | Community Advancement And Transformation 28 Maple Ave West Orange NJ 07052-2408 Ph: (862) 202-6645 |
| NPI Number | 1538690029 |
|---|---|
| Provider Enumeration Date | 03/25/2017 |
| Last Update Date | 03/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538690029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (New Jersey) | Primary |
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