| Supportive Family Solutions, Llc | |
|
152 Nesbit Ter Irvington NJ 07111-2203 | |
| (973) 207-1242 | |
| (973) 372-7005 |
| Full Name | Supportive Family Solutions, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 152 Nesbit Ter, Irvington, New Jersey |
| Authorized Official Name and Position | Duteche J Aine (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9732071242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Family Solutions, Llc 152 Nesbit Ter Irvington NJ 07111-2203 Ph: (973) 207-1242 | Supportive Family Solutions, Llc 152 Nesbit Ter Irvington NJ 07111-2203 Ph: (973) 207-1242 |
| NPI Number | 1972752699 |
|---|---|
| Provider Enumeration Date | 09/17/2008 |
| Last Update Date | 09/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972752699 | NPI | - | NPPES |
| 0162485 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0162485 (New Jersey) | Primary |
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