Rebuild Your Life Llc | |
488 Glassboro Rd Suite 104, First Floor Woodbury Hts NJ 08097-1400 | |
(856) 904-8888 | |
(856) 853-0024 |
Full Name | Rebuild Your Life Llc |
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Speciality | Community/behavioral Health |
Location | 488 Glassboro Rd, Woodbury Hts, New Jersey |
Authorized Official Name and Position | Kathleen Oriti (OWNER) |
Authorized Official Contact | 8569048888 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rebuild Your Life Llc 488 Glassboro Rd Suite 104, First Floor Woodbury Hts NJ 08097-1400 Ph: (856) 904-8888 | Rebuild Your Life Llc 488 Glassboro Rd Suite 104, First Floor Woodbury Hts NJ 08097-1400 Ph: (856) 904-8888 |
NPI Number | 1992081517 |
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Provider Enumeration Date | 10/27/2011 |
Last Update Date | 10/27/2011 |
Identifier | Type | State | Issuer |
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1992081517 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | 1632435 (New Jersey) | Primary |