| Ethan And The Bean A New Jersey Non Profit Corporation | |
|
31 Fairfield Avenue West Caldwell NJ 07006 | |
| (973) 303-9678 | |
| Not Available |
| Full Name | Ethan And The Bean A New Jersey Non Profit Corporation |
|---|---|
| Speciality | Day Training/habilitation Specialist |
| Location | 31 Fairfield Avenue, West Caldwell, New Jersey |
| Authorized Official Name and Position | Pamela Donovan (PRESIDENT) |
| Authorized Official Contact | 9084035789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan And The Bean A New Jersey Non Profit Corporation 174 Forest Avenue West Caldwell NJ 07006 Ph: (973) 303-9678 | Ethan And The Bean A New Jersey Non Profit Corporation 31 Fairfield Avenue West Caldwell NJ 07006 Ph: (973) 303-9678 |
| NPI Number | 1063984979 |
|---|---|
| Provider Enumeration Date | 12/18/2018 |
| Last Update Date | 12/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063984979 | NPI | - | NPPES |
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