Kwenyan Professional Health Services, Llc | |
860 Lower Ferry Rd Suite 1 Ewing NJ 08628-3525 | |
(609) 403-8740 | |
(609) 403-8740 |
Full Name | Kwenyan Professional Health Services, Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 860 Lower Ferry Rd, Ewing, New Jersey |
Authorized Official Name and Position | Daniel E Cassell (PRESIDENT/CEO) |
Authorized Official Contact | 6094038740 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kwenyan Professional Health Services, Llc 860 Lower Ferry Rd Suite 1 Ewing NJ 08628-3525 Ph: (609) 403-8740 | Kwenyan Professional Health Services, Llc 860 Lower Ferry Rd Suite 1 Ewing NJ 08628-3525 Ph: (609) 403-8740 |
NPI Number | 1598196719 |
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Provider Enumeration Date | 12/13/2013 |
Last Update Date | 12/13/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598196719 | NPI | - | NPPES |
1111 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 100800104 (New Jersey) | Primary |
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