| Support Care Behavioral Services | |
|
13 Wisteria Dr Apt 2c Fords NJ 08863-1112 | |
| (848) 234-1791 | |
| Not Available |
| Full Name | Support Care Behavioral Services |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 13 Wisteria Dr Apt 2c, Fords, New Jersey |
| Authorized Official Name and Position | Apair Ismail (BCBA) |
| Authorized Official Contact | 8482341791 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Support Care Behavioral Services 13 Wisteria Dr Apt 2c Fords NJ 08863-1112 Ph: (848) 234-1791 | Support Care Behavioral Services 13 Wisteria Dr Apt 2c Fords NJ 08863-1112 Ph: (848) 234-1791 |
| NPI Number | 1811763162 |
|---|---|
| Provider Enumeration Date | 11/28/2023 |
| Last Update Date | 11/28/2023 |
| Certification Date | 11/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811763162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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