| Sammaret Behavioral Services Pc | |
|
225 Millburn Ave Suite 210 Millburn NJ 07041-1737 | |
| (973) 494-4614 | |
| Not Available |
| Full Name | Sammaret Behavioral Services Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 225 Millburn Ave, Millburn, New Jersey |
| Authorized Official Name and Position | Yetunde Adeola (PSYCHIATRIST) |
| Authorized Official Contact | 9734944614 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sammaret Behavioral Services Pc 52 Commonwealth Ave Newark NJ 07106-3027 Ph: (973) 494-4614 | Sammaret Behavioral Services Pc 225 Millburn Ave Suite 210 Millburn NJ 07041-1737 Ph: (973) 494-4614 |
| NPI Number | 1871872226 |
|---|---|
| Provider Enumeration Date | 08/16/2011 |
| Last Update Date | 08/16/2011 |
| Medicare PECOS PAC ID | 2961672449 |
|---|---|
| Medicare Enrollment ID | O20110822000047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871872226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 25MA08841500 (New Jersey) | Primary |
| Provider Name | Yetunde Adeola |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033314299 PECOS PAC ID: 3678743150 Enrollment ID: I20110822000087 |
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