Constance Health And Behavioral Consult | |
261 Carnegie Pl Vauxhall NJ 07088-1334 | |
(862) 588-6125 | |
Not Available |
Full Name | Constance Health And Behavioral Consult |
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Speciality | Clinic/Center |
Location | 261 Carnegie Pl, Vauxhall, New Jersey |
Authorized Official Name and Position | Christianah Adelakun (NURSE PRACTITIONER) |
Authorized Official Contact | 8625886125 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Constance Health And Behavioral Consult 261 Carnegie Pl Vauxhall NJ 07088-1334 Ph: (862) 588-6125 | Constance Health And Behavioral Consult 261 Carnegie Pl Vauxhall NJ 07088-1334 Ph: (862) 588-6125 |
NPI Number | 1578275046 |
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Provider Enumeration Date | 12/15/2022 |
Last Update Date | 12/15/2022 |
Certification Date | 12/15/2022 |
Medicare PECOS PAC ID | 0345611844 |
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Medicare Enrollment ID | O20230119003344 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578275046 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Christianah Adelakun |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043646839 PECOS PAC ID: 9436450228 Enrollment ID: I20151221001959 |
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