| Irvington Family Services, Inc. | |
|
660 S 21st St Irvington NJ 07111-4109 | |
| (973) 372-4433 | |
| (973) 372-4411 |
| Full Name | Irvington Family Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 660 S 21st St, Irvington, New Jersey |
| Authorized Official Name and Position | Roy Hargrove (ADMINISTRATOR) |
| Authorized Official Contact | 9733724433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irvington Family Services, Inc. 660 S 21st St Irvington NJ 07111-4109 Ph: (973) 372-4433 | Irvington Family Services, Inc. 660 S 21st St Irvington NJ 07111-4109 Ph: (973) 372-4433 |
| NPI Number | 1902127848 |
|---|---|
| Provider Enumeration Date | 06/15/2010 |
| Last Update Date | 06/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902127848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 12345-01-04 (New Jersey) | Primary |
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