| North Jersey Friendship House Inc | |
|
45 Urban Club Rd Wayne NJ 07470-2000 | |
| (973) 987-3278 | |
| Not Available |
| Full Name | North Jersey Friendship House Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 45 Urban Club Rd, Wayne, New Jersey |
| Authorized Official Name and Position | Dinorah D'auria (CHIEF FINANCIAL 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 45 Urban Club Rd Wayne NJ 07470-2000 Ph: (973) 987-3278 |
| NPI Number | 1528670619 |
|---|---|
| Provider Enumeration Date | 08/19/2020 |
| Last Update Date | 01/19/2022 |
| Certification Date | 01/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528670619 | NPI | - | NPPES |
| 0023507 | Medicaid | NJ | |
| 0512583 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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