Revive Neural Health | |
233 Mount Airy Rd Fl 1 Basking Ridge NJ 07920-2338 | |
(190) 875-8120 | |
Not Available |
Full Name | Revive Neural Health |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 233 Mount Airy Rd Fl 1, Basking Ridge, New Jersey |
Authorized Official Name and Position | Sajid Baig (PRESIDENT) |
Authorized Official Contact | 2017376876 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Revive Neural Health 3129 Valley Rd Basking Ridge NJ 07920-2642 Ph: (646) 662-1058 | Revive Neural Health 233 Mount Airy Rd Fl 1 Basking Ridge NJ 07920-2338 Ph: (190) 875-8120 |
NPI Number | 1689364408 |
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Provider Enumeration Date | 05/15/2023 |
Last Update Date | 07/12/2024 |
Certification Date | 07/03/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689364408 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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