| Through The Lifetime Llc | |
|
133 Dennis St Roselle NJ 07203-2547 | |
| (908) 956-3875 | |
| Not Available |
| Full Name | Through The Lifetime Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 133 Dennis St, Roselle, New Jersey |
| Authorized Official Name and Position | Sharon Teague (OWNER) |
| Authorized Official Contact | 9059563875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Through The Lifetime Llc 133 Dennis St Roselle NJ 07203-2547 Ph: (908) 956-3875 | Through The Lifetime Llc 133 Dennis St Roselle NJ 07203-2547 Ph: (908) 956-3875 |
| NPI Number | 1265966220 |
|---|---|
| Provider Enumeration Date | 04/17/2017 |
| Last Update Date | 04/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265966220 | NPI | - | NPPES |
| 0548511 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 44SC01288200 (New Jersey) | Primary |
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