| Leading Youth Through Experience, Llc | |
|
2 Arrowhead Ct Freehold NJ 07728-9577 | |
| (732) 458-3201 | |
| (732) 458-3269 |
| Full Name | Leading Youth Through Experience, Llc |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 2 Arrowhead Ct, Freehold, New Jersey |
| Authorized Official Name and Position | Jason Mark Rosenberg (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7324583201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leading Youth Through Experience, Llc 2 Arrowhead Ct Freehold NJ 07728-9577 Ph: (732) 458-3201 | Leading Youth Through Experience, Llc 2 Arrowhead Ct Freehold NJ 07728-9577 Ph: (732) 458-3201 |
| NPI Number | 1417444076 |
|---|---|
| Provider Enumeration Date | 04/19/2018 |
| Last Update Date | 04/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417444076 | NPI | - | NPPES |
| 1225240633 | Medicaid | NJ |
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