| Regroup Princetta's Behavioral Health Services, Llc | |
|
1314 Park Ave Suite 7 Plainfield NJ 07060-3253 | |
| (908) 755-3392 | |
| (908) 755-4768 |
| Full Name | Regroup Princetta's Behavioral Health Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1314 Park Ave, Plainfield, New Jersey |
| Authorized Official Name and Position | Princetta A Edwards (PSYCHOTHERAPIST PRESIDENT) |
| Authorized Official Contact | 9087553392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regroup Princetta's Behavioral Health Services, Llc Po Box 512 Fanwood NJ 07023-0512 Ph: (908) 755-3392 | Regroup Princetta's Behavioral Health Services, Llc 1314 Park Ave Suite 7 Plainfield NJ 07060-3253 Ph: (908) 755-3392 |
| NPI Number | 1164542718 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 12/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164542718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Regroup Princetta's Behvaioral Health Services,llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: Park Ave Ste 7, Plainfield, NJ 07060 Phone: 908-755-3392 | |
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