| Newark Community Street Team, Inc. | |
|
915 S 16th St Newark NJ 07108-1120 | |
| (973) 351-4529 | |
| Not Available |
| Full Name | Newark Community Street Team, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 915 S 16th St, Newark, New Jersey |
| Authorized Official Name and Position | Angelica M Maury (TRAUMA RECOVERY CENTER DIRECTOR) |
| Authorized Official Contact | 8623715635 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newark Community Street Team, Inc. 915 S 16th St Newark NJ 07108-1120 Ph: (973) 351-4529 | Newark Community Street Team, Inc. 915 S 16th St Newark NJ 07108-1120 Ph: (973) 351-4529 |
| NPI Number | 1841020708 |
|---|---|
| Provider Enumeration Date | 08/06/2024 |
| Last Update Date | 08/06/2024 |
| Certification Date | 08/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841020708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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