Impact Endeavors Llc | |
44 Cooper St Ste 108 Woodbury NJ 08096-4642 | |
(856) 229-2032 | |
Not Available |
Full Name | Impact Endeavors Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 44 Cooper St Ste 108, Woodbury, New Jersey |
Authorized Official Name and Position | Donna Hallworth (OWNER) |
Authorized Official Contact | 8562292032 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Impact Endeavors Llc 554 Capri Ct Williamstown NJ 08094-3044 Ph: (856) 229-2032 | Impact Endeavors Llc 44 Cooper St Ste 108 Woodbury NJ 08096-4642 Ph: (856) 229-2032 |
NPI Number | 1972081537 |
---|---|
Provider Enumeration Date | 08/04/2018 |
Last Update Date | 08/04/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972081537 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 44SC0130790 (New Jersey) | Primary |
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