| Team Management 2000 Inc | |
|
744 Broad St Fl 24 Newark NJ 07102-3802 | |
| (973) 273-0425 | |
| Not Available |
| Full Name | Team Management 2000 Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 744 Broad St Fl 24, Newark, New Jersey |
| Authorized Official Name and Position | Ava Faustin (CEO) |
| Authorized Official Contact | 2014874700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Team Management 2000 Inc 84 Main St Hackensack NJ 07601-7143 Ph: (201) 487-4700 | Team Management 2000 Inc 744 Broad St Fl 24 Newark NJ 07102-3802 Ph: (973) 273-0425 |
| NPI Number | 1962938316 |
|---|---|
| Provider Enumeration Date | 05/04/2017 |
| Last Update Date | 09/08/2022 |
| Certification Date | 09/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962938316 | NPI | - | NPPES |
| 0564842 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2000054 (New Jersey) | Primary |
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