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99 Kinderkamack Rd Ste 109 Westwood NJ 07675-3020 | |
| (201) 725-1251 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 99 Kinderkamack Rd Ste 109, Westwood, New Jersey |
| Authorized Official Name and Position | Lisa Ruane (OWNER) |
| Authorized Official Contact | 2017251251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
14 Central Ave Hillsdale NJ 07642-2122 Ph: (201) 725-1251 | 99 Kinderkamack Rd Ste 109 Westwood NJ 07675-3020 Ph: (201) 725-1251 |
| NPI Number | 1275001497 |
|---|---|
| Provider Enumeration Date | 11/06/2018 |
| Last Update Date | 01/23/2025 |
| Certification Date | 01/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275001497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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