| Gracious Services Inc. | |
|
25 South Ave Fanwood NJ 07023-1518 | |
| (908) 233-0005 | |
| Not Available |
| Full Name | Gracious Services Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 25 South Ave, Fanwood, New Jersey |
| Authorized Official Name and Position | Bayo Badmus (CEO) |
| Authorized Official Contact | 9082330005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gracious Services Inc. 208 Lenox Ave Ste 353 Westfield NJ 07090-5120 Ph: (908) 233-0005 | Gracious Services Inc. 25 South Ave Fanwood NJ 07023-1518 Ph: (908) 233-0005 |
| NPI Number | 1821823279 |
|---|---|
| Provider Enumeration Date | 09/05/2024 |
| Last Update Date | 09/05/2024 |
| Certification Date | 09/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821823279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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