| Cope Center,inc. | |
|
104 Bloomfield Ave. Montclair NJ 07042 | |
| (973) 783-6655 | |
| Not Available |
| Full Name | Cope Center,inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 104 Bloomfield Ave., Montclair, New Jersey |
| Authorized Official Name and Position | Sue A Seidenfeld (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9737836655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cope Center,inc. 104 Bloomfield Ave Montclair NJ 07042-4723 Ph: (973) 783-6655 | Cope Center,inc. 104 Bloomfield Ave. Montclair NJ 07042 Ph: (973) 783-6655 |
| NPI Number | 1619293461 |
|---|---|
| Provider Enumeration Date | 04/19/2010 |
| Last Update Date | 10/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619293461 | NPI | - | NPPES |
| 7609604 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2000343-08 (New Jersey) | Primary |
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