| Roles In The Community Llc | |
|
137 Lehigh Ave Newark NJ 07112-2037 | |
| (862) 218-6089 | |
| Not Available |
| Full Name | Roles In The Community Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 137 Lehigh Ave, Newark, New Jersey |
| Authorized Official Name and Position | Jasmine Bethea (CEO/ADMINSTRATOR) |
| Authorized Official Contact | 9082665871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roles In The Community Llc 137 Lehigh Ave Newark NJ 07112-2037 Ph: (862) 218-6089 | Roles In The Community Llc 137 Lehigh Ave Newark NJ 07112-2037 Ph: (862) 218-6089 |
| NPI Number | 1588390017 |
|---|---|
| Provider Enumeration Date | 07/27/2022 |
| Last Update Date | 09/30/2022 |
| Certification Date | 09/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588390017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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