| Nj Cchs | |
|
271 Route 46 W C-110 Fairfield NJ 07004-2440 | |
| (201) 491-6060 | |
| (201) 346-4365 |
| Full Name | Nj Cchs |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 271 Route 46 W, Fairfield, New Jersey |
| Authorized Official Name and Position | Vashonna Etienne (FOUNDING EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2014916060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nj Cchs 2410 2nd St Fort Lee NJ 07024-4004 Ph: (201) 491-6060 | Nj Cchs 271 Route 46 W C-110 Fairfield NJ 07004-2440 Ph: (201) 491-6060 |
| NPI Number | 1881026151 |
|---|---|
| Provider Enumeration Date | 08/08/2013 |
| Last Update Date | 11/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881026151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 44SC05537800 (New Jersey) | Primary |
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