Within Health Provider Services Nj Llc | |
299 Glenwood Ave Ste 201 Bloomfield NJ 07003-2445 | |
(866) 918-2114 | |
Not Available |
Full Name | Within Health Provider Services Nj Llc |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 299 Glenwood Ave Ste 201, Bloomfield, New Jersey |
Authorized Official Name and Position | Christine Stockert (DIRECTOR OF HEALTH SERVICES) |
Authorized Official Contact | 8669182114 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Within Health Provider Services Nj Llc 2665 S Bayshore Dr Ste 220 Miami FL 33133-5402 Ph: (866) 918-2114 | Within Health Provider Services Nj Llc 299 Glenwood Ave Ste 201 Bloomfield NJ 07003-2445 Ph: (866) 918-2114 |
NPI Number | 1578235123 |
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Provider Enumeration Date | 10/01/2021 |
Last Update Date | 12/09/2021 |
Certification Date | 12/09/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578235123 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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