| Timbuk2 Academy Llc | |
|
712 Stuyvesant Ave Trenton NJ 08618-4106 | |
| (609) 431-2549 | |
| Not Available |
| Full Name | Timbuk2 Academy Llc |
|---|---|
| Speciality | Counselor |
| Location | 712 Stuyvesant Ave, Trenton, New Jersey |
| Authorized Official Name and Position | Ayana Abdulraheem (CEO) |
| Authorized Official Contact | 6094312549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timbuk2 Academy Llc Po Box 77047 Ewing NJ 08628-6047 Ph: () - | Timbuk2 Academy Llc 712 Stuyvesant Ave Trenton NJ 08618-4106 Ph: (609) 431-2549 |
| NPI Number | 1740801158 |
|---|---|
| Provider Enumeration Date | 04/27/2020 |
| Last Update Date | 04/27/2020 |
| Certification Date | 04/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740801158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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