| Oata/spirit Institute | |
|
249 Main St. A.1 West Orange NJ 07052 | |
| (973) 736-2452 | |
| (973) 746-0486 |
| Full Name | Oata/spirit Institute |
|---|---|
| Speciality | Counselor |
| Location | 249 Main St. A.1, West Orange, New Jersey |
| Authorized Official Name and Position | Denise Jones (GENERAL PARTNER-VICE PRESIDENT) |
| Authorized Official Contact | 9737362452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oata/spirit Institute 249 Main St. A.1 West Orange NJ 07052 Ph: (973) 736-2452 | Oata/spirit Institute 249 Main St. A.1 West Orange NJ 07052 Ph: (973) 736-2452 |
| NPI Number | 1194154914 |
|---|---|
| Provider Enumeration Date | 11/02/2013 |
| Last Update Date | 11/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194154914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 37PC00245300 (New Jersey) | Primary |
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