| Great Joy Community Development Corporation | |
|
800 Raritan Rd Ste 2 Clark NJ 07066-1710 | |
| (908) 514-8602 | |
| Not Available |
| Full Name | Great Joy Community Development Corporation |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 800 Raritan Rd Ste 2, Clark, New Jersey |
| Authorized Official Name and Position | La'tesha Sampson (LCSW) |
| Authorized Official Contact | 9085148602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Joy Community Development Corporation 800 Raritan Rd Ste 2 Clark NJ 07066-1710 Ph: (908) 514-8602 | Great Joy Community Development Corporation 800 Raritan Rd Ste 2 Clark NJ 07066-1710 Ph: (908) 514-8602 |
| NPI Number | 1881431922 |
|---|---|
| Provider Enumeration Date | 07/15/2024 |
| Last Update Date | 07/15/2024 |
| Certification Date | 07/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881431922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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