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99 Cherry Hill Rd Ste 304 Parsippany NJ 07054-1102 | |
| (973) 963-3911 | |
| (973) 201-1248 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 99 Cherry Hill Rd Ste 304, Parsippany, New Jersey |
| Authorized Official Name and Position | Edward Moody (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5713343144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6100 Sw 76th St South Miami FL 33143-5002 Ph: (305) 663-1876 | 99 Cherry Hill Rd Ste 304 Parsippany NJ 07054-1102 Ph: (973) 963-3911 |
| NPI Number | 1942088539 |
|---|---|
| Provider Enumeration Date | 09/15/2023 |
| Last Update Date | 09/18/2023 |
| Certification Date | 09/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942088539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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