| Innovative Community Access Inc | |
|
272 Prospect Ave Park Ridge NJ 07656-2515 | |
| (201) 486-9500 | |
| Not Available |
| Full Name | Innovative Community Access Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 272 Prospect Ave, Park Ridge, New Jersey |
| Authorized Official Name and Position | Regina Ardizone (OWNER) |
| Authorized Official Contact | 2014869500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Community Access Inc 272 Prospect Ave Park Ridge NJ 07656-2515 Ph: (201) 486-9500 | Innovative Community Access Inc 272 Prospect Ave Park Ridge NJ 07656-2515 Ph: (201) 486-9500 |
| NPI Number | 1700270212 |
|---|---|
| Provider Enumeration Date | 03/23/2015 |
| Last Update Date | 03/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700270212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Pascack Mental Health Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 114 Kinderkamack Road, Park Ridge, NJ 07656 Phone: 201-391-1355 Fax: 201-391-9516 | |
Children's Aid And Family Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 Pascack Rd, Park Ridge, NJ 07656 Phone: 201-664-7259 Fax: 201-762-1194 | |
Adl Therapy Nj Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Kinderkamack Rd, Park Ridge, NJ 07656 Phone: 845-548-3073 | |
Quest For Excellence International, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Broadway, Park Ridge, NJ 07656 Phone: 667-207-0445 | |
Children's Aid And Family Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 Pascack Rd, Park Ridge, NJ 07656 Phone: 201-664-7259 Fax: 201-664-7569 |