| Ignite One | |
|
12 Belleview Ct Apt D Belleville NJ 07109-4414 | |
| (833) 404-0202 | |
| Not Available |
| Full Name | Ignite One |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12 Belleview Ct Apt D, Belleville, New Jersey |
| Authorized Official Name and Position | Fadja Robert-carr (CEO) |
| Authorized Official Contact | 5054849818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ignite One 12 Belleview Ct Apt D Belleville NJ 07109-4414 Ph: (505) 484-9818 | Ignite One 12 Belleview Ct Apt D Belleville NJ 07109-4414 Ph: (833) 404-0202 |
| NPI Number | 1447908918 |
|---|---|
| Provider Enumeration Date | 03/14/2022 |
| Last Update Date | 03/14/2022 |
| Certification Date | 03/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447908918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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