| Deedles, LLC | |
|
215 Kinderkamack Rd River Edge NJ 07661-2089 | |
| (201) 993-7807 | |
| Not Available |
| Full Name | Deedles, LLC |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 215 Kinderkamack Rd, River Edge, New Jersey |
| Authorized Official Name and Position | Deirdre a Montez (OWNER) |
| Authorized Official Contact | 2019937807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deedles, LLC 215 Kinderkamack Rd Apt N4 River Edge NJ 07661-2090 Ph: (201) 993-7807 | Deedles, LLC 215 Kinderkamack Rd River Edge NJ 07661-2089 Ph: (201) 993-7807 |
| NPI Number | 1861177859 |
|---|---|
| Provider Enumeration Date | 06/19/2023 |
| Last Update Date | 07/31/2023 |
| Certification Date | 07/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861177859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | () | Primary |
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