| Catholic Charities Mobile Response | |
|
3040 Kennedy Blvd Jersey City NJ 07306-3604 | |
| (201) 798-7452 | |
| (973) 596-4030 |
| Full Name | Catholic Charities Mobile Response |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3040 Kennedy Blvd, Jersey City, New Jersey |
| Authorized Official Name and Position | Allen J Daul (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9732667998 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities Mobile Response 590 N 7th St Newark NJ 07107-2522 Ph: (973) 266-7998 | Catholic Charities Mobile Response 3040 Kennedy Blvd Jersey City NJ 07306-3604 Ph: (201) 798-7452 |
| NPI Number | 1104141258 |
|---|---|
| Provider Enumeration Date | 04/01/2010 |
| Last Update Date | 04/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104141258 | NPI | - | NPPES |
| 0023574 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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