| North Jersey Friendship House, Inc | |
|
355 Main St Hackensack NJ 07601-4135 | |
| (201) 488-2121 | |
| (201) 488-7161 |
| Full Name | North Jersey Friendship House, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 355 Main St, Hackensack, New Jersey |
| Authorized Official Name and Position | Dinorah D'auria (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2014882121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Jersey Friendship House, Inc 125 Atlantic St Hackensack NJ 07601-4135 Ph: (201) 488-2121 | North Jersey Friendship House, Inc 355 Main St Hackensack NJ 07601-4135 Ph: (201) 488-2121 |
| NPI Number | 1205217502 |
|---|---|
| Provider Enumeration Date | 06/11/2015 |
| Last Update Date | 01/19/2022 |
| Certification Date | 01/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205217502 | NPI | - | NPPES |
| 0512583 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 920090105 (New Jersey) | Primary |
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