| Marina Behavioral Health Care Llc | |
|
401 Hamburg Tpke Suite # 302 Wayne NJ 07470-2154 | |
| (862) 221-2604 | |
| Not Available |
| Full Name | Marina Behavioral Health Care Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 401 Hamburg Tpke, Wayne, New Jersey |
| Authorized Official Name and Position | Marina Haghour-vwich (OWNER) |
| Authorized Official Contact | 8622212604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marina Behavioral Health Care Llc Po Box 2285 Wayne NJ 07474-2285 Ph: (862) 221-2604 | Marina Behavioral Health Care Llc 401 Hamburg Tpke Suite # 302 Wayne NJ 07470-2154 Ph: (862) 221-2604 |
| NPI Number | 1316384662 |
|---|---|
| Provider Enumeration Date | 05/28/2013 |
| Last Update Date | 05/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316384662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 25MA08679700 (New Jersey) | Primary |
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