| Eva's Village, Inc. | |
|
16 Spring St Paterson NJ 07501-2823 | |
| (973) 754-6784 | |
| (973) 754-8539 |
| Full Name | Eva's Village, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 16 Spring St, Paterson, New Jersey |
| Authorized Official Name and Position | Mark Schmit (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9735236220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eva's Village, Inc. 393 Main St Paterson NJ 07501-2815 Ph: (973) 523-6220 | Eva's Village, Inc. 16 Spring St Paterson NJ 07501-2823 Ph: (973) 754-6784 |
| NPI Number | 1942615257 |
|---|---|
| Provider Enumeration Date | 06/25/2014 |
| Last Update Date | 01/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942615257 | NPI | - | NPPES |
| 7199708 | Medicaid | NJ | |
| 7632703 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 304100104 (New Jersey) | Primary |
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