| Easter Seals New Jersey,inc | |
|
25 Kennedy Blvd Ste 600 East Brunswick NJ 08816-1262 | |
| (732) 905-5324 | |
| (732) 257-7373 |
| Full Name | Easter Seals New Jersey,inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 25 Kennedy Blvd Ste 600, East Brunswick, New Jersey |
| Authorized Official Name and Position | Cheryl Marks Young (CFO) |
| Authorized Official Contact | 7322576662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals New Jersey,inc 25 Kennedy Blvd Ste 600 East Brunswick NJ 08816-1262 Ph: (732) 905-5324 | Easter Seals New Jersey,inc 25 Kennedy Blvd Ste 600 East Brunswick NJ 08816-1262 Ph: (732) 905-5324 |
| NPI Number | 1760813661 |
|---|---|
| Provider Enumeration Date | 12/03/2013 |
| Last Update Date | 12/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760813661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00041500 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | 44SC04936900 (New Jersey) | Primary |
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