| Tailored For Change, Llc | |
|
400 38th Street 210 Union City NJ 07087 | |
| (917) 518-1075 | |
| Not Available |
| Full Name | Tailored For Change, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 400 38th Street, Union City, New Jersey |
| Authorized Official Name and Position | Nancy Andino (FOUNDER; CEO) |
| Authorized Official Contact | 9175181075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tailored For Change, Llc 400 38th Street Suite 210 Union City NJ 07087 Ph: (917) 518-1075 | Tailored For Change, Llc 400 38th Street 210 Union City NJ 07087 Ph: (917) 518-1075 |
| NPI Number | 1558736942 |
|---|---|
| Provider Enumeration Date | 12/10/2015 |
| Last Update Date | 07/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558736942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC0537200 (New Jersey) | Primary |
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