| None | |
|
3452 Buckingham Ln Pennsauken NJ 08109-3802 | |
| (551) 800-1835 | |
| Not Available |
| Full Name | None |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3452 Buckingham Ln, Pennsauken, New Jersey |
| Authorized Official Name and Position | Rakiyah Adamu-sambare (OWNER) |
| Authorized Official Contact | 5518001835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| None 2230 Route 70 W Ste 2 Cherry Hill NJ 08002-3338 Ph: (551) 800-1835 | None 3452 Buckingham Ln Pennsauken NJ 08109-3802 Ph: (551) 800-1835 |
| NPI Number | 1932922309 |
|---|---|
| Provider Enumeration Date | 11/05/2024 |
| Last Update Date | 11/05/2024 |
| Certification Date | 11/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932922309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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