| Jump Start Aba Llc | |
|
9 Holly Street Lakewood NJ 08701 | |
| (347) 913-2879 | |
| Not Available |
| Full Name | Jump Start Aba Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9 Holly Street, Lakewood, New Jersey |
| Authorized Official Name and Position | Miriam Rachel Monheit (OWNER) |
| Authorized Official Contact | 3479132879 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jump Start Aba Llc 9 Holly Street Lakewood NJ 08701 Ph: () - | Jump Start Aba Llc 9 Holly Street Lakewood NJ 08701 Ph: (347) 913-2879 |
| NPI Number | 1164158473 |
|---|---|
| Provider Enumeration Date | 07/28/2022 |
| Last Update Date | 07/28/2022 |
| Certification Date | 07/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164158473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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