| Family Innovation And Consultation | |
|
62 Amber Dr Old Bridge NJ 08857-3588 | |
| (917) 288-1100 | |
| Not Available |
| Full Name | Family Innovation And Consultation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 62 Amber Dr, Old Bridge, New Jersey |
| Authorized Official Name and Position | Schaune Daydrea Gamble (SOCIAL WORKER) |
| Authorized Official Contact | 9172881100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Innovation And Consultation 62 Amber Dr Old Bridge NJ 08857-3588 Ph: (917) 288-1100 | Family Innovation And Consultation 62 Amber Dr Old Bridge NJ 08857-3588 Ph: (917) 288-1100 |
| NPI Number | 1598270795 |
|---|---|
| Provider Enumeration Date | 12/10/2017 |
| Last Update Date | 12/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598270795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 44SL05689700 (New Jersey) | Primary |
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