| Great Expectations Clinical And Support Services Llc | |
|
263 Hillside Ave Suite 6 Nutley NJ 07110-1180 | |
| (917) 816-4948 | |
| Not Available |
| Full Name | Great Expectations Clinical And Support Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 263 Hillside Ave, Nutley, New Jersey |
| Authorized Official Name and Position | Roman Rubin (CHIEF EXECUTIVE OFFICE) |
| Authorized Official Contact | 9178164948 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Expectations Clinical And Support Services Llc 263 Hillside Ave Suite 6 Nutley NJ 07110-1180 Ph: (917) 816-4948 | Great Expectations Clinical And Support Services Llc 263 Hillside Ave Suite 6 Nutley NJ 07110-1180 Ph: (917) 816-4948 |
| NPI Number | 1750814950 |
|---|---|
| Provider Enumeration Date | 04/05/2017 |
| Last Update Date | 04/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750814950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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