| Icwpc | |
|
26 Hill Rd Parsippany NJ 07054-1001 | |
| (973) 335-9909 | |
| Not Available |
| Full Name | Icwpc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 26 Hill Rd, Parsippany, New Jersey |
| Authorized Official Name and Position | Srinivasa K Rao (PROGRAM DIRECTOR) |
| Authorized Official Contact | 9733359909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Icwpc 22 Hill Rd Parsippany NJ 07054-1078 Ph: (973) 335-8030 | Icwpc 26 Hill Rd Parsippany NJ 07054-1001 Ph: (973) 335-9909 |
| NPI Number | 1457762080 |
|---|---|
| Provider Enumeration Date | 05/16/2014 |
| Last Update Date | 07/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457762080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (New Jersey) | Primary |
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