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317 George St Ste 320 New Brunswick NJ 08901-2091 | |
| (862) 243-2147 | |
| (973) 860-2282 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 317 George St Ste 320, New Brunswick, New Jersey |
| Authorized Official Name and Position | Nyesha Marie Little (CEO/DIRECTOR) |
| Authorized Official Contact | 8622432147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1219 Liberty Ave Hillside NJ 07205-2055 Ph: (862) 241-0147 | 317 George St Ste 320 New Brunswick NJ 08901-2091 Ph: (862) 243-2147 |
| NPI Number | 1720612849 |
|---|---|
| Provider Enumeration Date | 02/27/2020 |
| Last Update Date | 01/31/2025 |
| Certification Date | 01/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720612849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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