| Icbh | |
|
130 Maple Ave Ste Wb2 Red Bank NJ 07701-1736 | |
| (732) 668-4460 | |
| Not Available |
| Full Name | Icbh |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 130 Maple Ave Ste Wb2, Red Bank, New Jersey |
| Authorized Official Name and Position | Clarissa Mulligan Attara (COUNSELOR, SUPERVISOR, EDUCATOR) |
| Authorized Official Contact | 7326684460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Icbh 200 Village Center Dr # 6722 Freehold NJ 07728-1702 Ph: (732) 668-4460 | Icbh 130 Maple Ave Ste Wb2 Red Bank NJ 07701-1736 Ph: (732) 668-4460 |
| NPI Number | 1770295941 |
|---|---|
| Provider Enumeration Date | 12/20/2022 |
| Last Update Date | 12/12/2023 |
| Certification Date | 12/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770295941 | NPI | - | NPPES |
| 0450874979 | Other | NJ | 0450874979 |
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