| Pivotal Aba, Llc | |
|
524 10th St Lyndhurst NJ 07071-2723 | |
| (551) 301-9000 | |
| (551) 284-8090 |
| Full Name | Pivotal Aba, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 524 10th St, Lyndhurst, New Jersey |
| Authorized Official Name and Position | Thomas M Hansen (EXECUTIVE CLINICAL DIRECTOR) |
| Authorized Official Contact | 5513019000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pivotal Aba, Llc 524 10th St Lyndhurst NJ 07071-2723 Ph: (551) 301-9000 | Pivotal Aba, Llc 524 10th St Lyndhurst NJ 07071-2723 Ph: (551) 301-9000 |
| NPI Number | 1912622788 |
|---|---|
| Provider Enumeration Date | 10/05/2022 |
| Last Update Date | 10/05/2022 |
| Certification Date | 10/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912622788 | NPI | - | NPPES |
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