| Center For Holistic Intervention | |
|
7015 Polk St Guttenberg NJ 07093-1861 | |
| (908) 679-9211 | |
| Not Available |
| Full Name | Center For Holistic Intervention |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 7015 Polk St, Guttenberg, New Jersey |
| Authorized Official Name and Position | Elsie Jimenez (LEAD CLINICIAN) |
| Authorized Official Contact | 9086799211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Holistic Intervention 7015 Polk St Guttenberg NJ 07093-1861 Ph: (908) 679-9211 | Center For Holistic Intervention 7015 Polk St Guttenberg NJ 07093-1861 Ph: (908) 679-9211 |
| NPI Number | 1386338663 |
|---|---|
| Provider Enumeration Date | 06/08/2023 |
| Last Update Date | 06/20/2023 |
| Certification Date | 06/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386338663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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