| Millennial Capital Investment Llc | |
|
200 Philadelphia Ave Egg Harbor City NJ 08215-1331 | |
| (609) 705-0651 | |
| Not Available |
| Full Name | Millennial Capital Investment Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 200 Philadelphia Ave, Egg Harbor City, New Jersey |
| Authorized Official Name and Position | La Shonine Gandy-smith (CEO) |
| Authorized Official Contact | 6097050651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Millennial Capital Investment Llc 40 Abington Ct Mays Landing NJ 08330-1942 Ph: (609) 705-0651 | Millennial Capital Investment Llc 200 Philadelphia Ave Egg Harbor City NJ 08215-1331 Ph: (609) 705-0651 |
| NPI Number | 1447963178 |
|---|---|
| Provider Enumeration Date | 12/27/2022 |
| Last Update Date | 12/27/2022 |
| Certification Date | 12/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447963178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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