| Youth Development Svcs | |
|
12 N Rte 17 Suite 313 Paramus NJ 07652-2644 | |
| (201) 543-3935 | |
| (201) 226-1141 |
| Full Name | Youth Development Svcs |
|---|---|
| Speciality | Social Worker |
| Location | 12 N Rte 17, Paramus, New Jersey |
| Authorized Official Name and Position | Rebecca Henriquez (LCSW) |
| Authorized Official Contact | 2015433935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Development Svcs 12 N Rte 17 Suite 313 Paramus NJ 07652-2644 Ph: (201) 543-3935 | Youth Development Svcs 12 N Rte 17 Suite 313 Paramus NJ 07652-2644 Ph: (201) 543-3935 |
| NPI Number | 1356645923 |
|---|---|
| Provider Enumeration Date | 12/22/2010 |
| Last Update Date | 10/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356645923 | NPI | - | NPPES |
| 0036587 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 44SC05258800 (New Jersey) | Primary |
| 251E00000X | Home Health | (* (Not Available)) | Secondary |
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