| Your Path To Grow Llc | |
|
134 Hickory Ave Tenafly NJ 07670-1512 | |
| (215) 789-5002 | |
| Not Available |
| Full Name | Your Path To Grow Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 134 Hickory Ave, Tenafly, New Jersey |
| Authorized Official Name and Position | Anath Nevo (SOLE MEMBER) |
| Authorized Official Contact | 2016446424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Path To Grow Llc 265 Hackensack St Unit 1212 Wood Ridge NJ 07075-1253 Ph: (215) 789-5002 | Your Path To Grow Llc 134 Hickory Ave Tenafly NJ 07670-1512 Ph: (215) 789-5002 |
| NPI Number | 1437861069 |
|---|---|
| Provider Enumeration Date | 12/14/2022 |
| Last Update Date | 10/24/2023 |
| Certification Date | 10/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437861069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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