| Tamara Community Support Services Inc. | |
|
877 Broad St Suite 207 Newark NJ 07102-2612 | |
| (973) 286-0101 | |
| Not Available |
| Full Name | Tamara Community Support Services Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 877 Broad St, Newark, New Jersey |
| Authorized Official Name and Position | Katherine Ellu (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9732860101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tamara Community Support Services Inc. Po Box 1382 Laurence Harbor NJ 08879-4382 Ph: (973) 286-0101 | Tamara Community Support Services Inc. 877 Broad St Suite 207 Newark NJ 07102-2612 Ph: (973) 286-0101 |
| NPI Number | 1679812119 |
|---|---|
| Provider Enumeration Date | 02/04/2013 |
| Last Update Date | 02/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679812119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1759955 (New Jersey) | Primary |
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