| Creative Intervention For Mental Health And Chemical Dependency,pc | |
|
1149 Bloomfield Ave Clifton NJ 07012-2314 | |
| (973) 365-2300 | |
| (973) 365-0868 |
| Full Name | Creative Intervention For Mental Health And Chemical Dependency,pc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1149 Bloomfield Ave, Clifton, New Jersey |
| Authorized Official Name and Position | Linda Gochfeld (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6096623096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Intervention For Mental Health And Chemical Dependency,pc 20 Scotch Rd Ewing NJ 08628-2503 Ph: (609) 406-0100 | Creative Intervention For Mental Health And Chemical Dependency,pc 1149 Bloomfield Ave Clifton NJ 07012-2314 Ph: (973) 365-2300 |
| NPI Number | 1316189830 |
|---|---|
| Provider Enumeration Date | 03/30/2009 |
| Last Update Date | 03/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316189830 | NPI | - | NPPES |
| 000000 | Other | MEDICARE PENDING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 000000 (New Jersey) | Primary |
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