Kwenyan Professional Health Serv | |
200 Main St Flemington NJ 08822-1625 | |
(908) 237-3826 | |
(908) 237-3829 |
Full Name | Kwenyan Professional Health Serv |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 200 Main St, Flemington, New Jersey |
Authorized Official Name and Position | Daniel Cassell (PRESIDENT/CEO: ADMINISTRATOR) |
Authorized Official Contact | 6092845822 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kwenyan Professional Health Serv 200 Main Street Flemington NJ 08822 Ph: (908) 237-3826 | Kwenyan Professional Health Serv 200 Main St Flemington NJ 08822-1625 Ph: (908) 237-3826 |
NPI Number | 1457883928 |
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Provider Enumeration Date | 04/03/2017 |
Last Update Date | 04/03/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457883928 | NPI | - | NPPES |
100800204 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 100800204 (New Jersey) | Primary |
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