| Guided Life Structures | |
|
75 Veterans Memorial Dr E Ste 205 Somerville NJ 08876-2949 | |
| (908) 704-0011 | |
| (908) 704-0711 |
| Full Name | Guided Life Structures |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 75 Veterans Memorial Dr E Ste 205, Somerville, New Jersey |
| Authorized Official Name and Position | Eileen Oertel (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9087040011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guided Life Structures 75 Veterans Memorial Dr E Ste 205 Somerville NJ 08876-2949 Ph: (908) 704-0011 | Guided Life Structures 75 Veterans Memorial Dr E Ste 205 Somerville NJ 08876-2949 Ph: (908) 704-0011 |
| NPI Number | 1356855175 |
|---|---|
| Provider Enumeration Date | 12/01/2017 |
| Last Update Date | 12/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356855175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2000133 (New Jersey) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | 2000133 (New Jersey) | Secondary |
Guided Life Structures Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Veterans Memorial Dr E Ste 205, Somerville, NJ 08876 Phone: 908-704-0011 Fax: 908-704-0711 | |
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