| Glascow Health Services Llc | |
|
22 E Quackenbush Ave Dumont NJ 07628-3055 | |
| (757) 582-1629 | |
| Not Available |
| Full Name | Glascow Health Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 22 E Quackenbush Ave, Dumont, New Jersey |
| Authorized Official Name and Position | Victor Clark (OWNER/ DIRECTOR) |
| Authorized Official Contact | 7575821629 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glascow Health Services Llc 22 E Quackenbush Ave Dumont NJ 07628-3055 Ph: () - | Glascow Health Services Llc 22 E Quackenbush Ave Dumont NJ 07628-3055 Ph: (757) 582-1629 |
| NPI Number | 1841651338 |
|---|---|
| Provider Enumeration Date | 03/11/2016 |
| Last Update Date | 03/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841651338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (New Jersey) | Primary |
| 251S00000X | Community/behavioral Health | (Virginia) | Secondary |
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