Project99 Llc | |
212 Short Hills Ave Suite 202 Springfield NJ 07081-1040 | |
(973) 565-9199 | |
(973) 565-9599 |
Full Name | Project99 Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 212 Short Hills Ave, Springfield, New Jersey |
Authorized Official Name and Position | Zachary M Simmons (CO-FOUNDER) |
Authorized Official Contact | 9735659199 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Project99 Llc Po Box 388 Newark NJ 07101-0388 Ph: (973) 565-9199 | Project99 Llc 212 Short Hills Ave Suite 202 Springfield NJ 07081-1040 Ph: (973) 565-9199 |
NPI Number | 1265695977 |
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Provider Enumeration Date | 07/03/2008 |
Last Update Date | 06/30/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265695977 | NPI | - | NPPES |
0023558 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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