| The Starter House Community Living Center | |
|
347 Lake St Apt A4 Newark NJ 07104-1241 | |
| (973) 207-7329 | |
| Not Available |
| Full Name | The Starter House Community Living Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 347 Lake St Apt A4, Newark, New Jersey |
| Authorized Official Name and Position | Kenya C Harris (OWNER) |
| Authorized Official Contact | 9732077329 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Starter House Community Living Center 347 Lake St Apt A4 Newark NJ 07104-1241 Ph: (973) 207-7329 | The Starter House Community Living Center 347 Lake St Apt A4 Newark NJ 07104-1241 Ph: (973) 207-7329 |
| NPI Number | 1013582576 |
|---|---|
| Provider Enumeration Date | 05/26/2021 |
| Last Update Date | 05/26/2021 |
| Certification Date | 05/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013582576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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