| Fairlawn Behavioral Associates | |
|
15-01 Broadway Suite 10b Fair Lawn NJ 07410-6003 | |
| (201) 794-7733 | |
| (201) 794-7735 |
| Full Name | Fairlawn Behavioral Associates |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 15-01 Broadway, Fair Lawn, New Jersey |
| Authorized Official Name and Position | Mohsan Jan (ADMINISTRATOR) |
| Authorized Official Contact | 8458212605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairlawn Behavioral Associates Po Box 809 Teaneck NJ 07666-0809 Ph: (201) 289-8455 | Fairlawn Behavioral Associates 15-01 Broadway Suite 10b Fair Lawn NJ 07410-6003 Ph: (201) 794-7733 |
| NPI Number | 1952773392 |
|---|---|
| Provider Enumeration Date | 10/26/2015 |
| Last Update Date | 10/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952773392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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