Proceed Inc | |
1122 E. Grand St. Elizabeth NJ 07201 | |
(908) 351-7727 | |
(908) 353-5460 |
Full Name | Proceed Inc |
---|---|
Speciality | Community/behavioral Health |
Location | 1122 E. Grand St., Elizabeth, New Jersey |
Authorized Official Name and Position | Teresa Soto Vega (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9083517664 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Proceed Inc 1126 Dickinson St Elizabeth NJ 07201-2404 Ph: (908) 351-7664 | Proceed Inc 1122 E. Grand St. Elizabeth NJ 07201 Ph: (908) 351-7727 |
NPI Number | 1336486547 |
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Provider Enumeration Date | 01/08/2013 |
Last Update Date | 04/12/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336486547 | NPI | - | NPPES |
0340073 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 2000311 (New Jersey) | Primary |
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