| Papoose Behavioral Health | |
|
105 Daniel Ave Unit 2 Rutherford NJ 07070-2718 | |
| (718) 775-8507 | |
| Not Available |
| Full Name | Papoose Behavioral Health |
|---|---|
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 105 Daniel Ave Unit 2, Rutherford, New Jersey |
| Authorized Official Name and Position | Bolanle Olugbile (CEO) |
| Authorized Official Contact | 7187758507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Papoose Behavioral Health 105 Daniel Ave Unit 2 Rutherford NJ 07070-2718 Ph: (718) 775-8507 | Papoose Behavioral Health 105 Daniel Ave Unit 2 Rutherford NJ 07070-2718 Ph: (718) 775-8507 |
| NPI Number | 1104512839 |
|---|---|
| Provider Enumeration Date | 04/14/2023 |
| Last Update Date | 04/14/2023 |
| Certification Date | 04/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104512839 | NPI | - | NPPES |
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