| Family And Youth Services | |
|
330 Milltown Rd Ste E22 East Brunswick NJ 08816-2287 | |
| (848) 252-8625 | |
| Not Available |
| Full Name | Family And Youth Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 330 Milltown Rd Ste E22, East Brunswick, New Jersey |
| Authorized Official Name and Position | Lauren Lasanta (OWNER) |
| Authorized Official Contact | 8482528625 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family And Youth Services 330 Milltown Rd Ste E22 East Brunswick NJ 08816-2287 Ph: (848) 252-8625 | Family And Youth Services 330 Milltown Rd Ste E22 East Brunswick NJ 08816-2287 Ph: (848) 252-8625 |
| NPI Number | 1750837159 |
|---|---|
| Provider Enumeration Date | 08/27/2016 |
| Last Update Date | 04/04/2024 |
| Certification Date | 04/04/2024 |
| Medicare PECOS PAC ID | 9234500646 |
|---|---|
| Medicare Enrollment ID | O20230123002305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750837159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 44SC05444600 (New Jersey) | Primary |
| Provider Name | Grace E Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417264318 PECOS PAC ID: 4587840202 Enrollment ID: I20110513000579 |
| Provider Name | Lauren Lasanta Tuazon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609160365 PECOS PAC ID: 3870964281 Enrollment ID: I20230123002386 |
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