| International Center For Optimal Living | |
|
415 Lasko Ln Parlin NJ 08859-2331 | |
| (201) 779-1653 | |
| Not Available |
| Full Name | International Center For Optimal Living |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 415 Lasko Ln, Parlin, New Jersey |
| Authorized Official Name and Position | Dionne Marlene Frank (DIRECTOR) |
| Authorized Official Contact | 2017791653 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| International Center For Optimal Living 415 Lasko Ln Parlin NJ 08859-2331 Ph: (201) 779-1653 | International Center For Optimal Living 415 Lasko Ln Parlin NJ 08859-2331 Ph: (201) 779-1653 |
| NPI Number | 1588114417 |
|---|---|
| Provider Enumeration Date | 10/04/2016 |
| Last Update Date | 01/15/2025 |
| Certification Date | 01/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588114417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | 44SC05646800 (New Jersey) | Secondary |
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