| Elshiva Developmental Services | |
|
397 Bridgeton Pike Mantua NJ 08051-1925 | |
| (609) 313-1080 | |
| Not Available |
| Full Name | Elshiva Developmental Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 397 Bridgeton Pike, Mantua, New Jersey |
| Authorized Official Name and Position | Frank Mustafa (DIRECTOR) |
| Authorized Official Contact | 6093131080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elshiva Developmental Services 397 Bridgeton Pike Mantua NJ 08051-1925 Ph: (609) 313-1080 | Elshiva Developmental Services 397 Bridgeton Pike Mantua NJ 08051-1925 Ph: (609) 313-1080 |
| NPI Number | 1235830969 |
|---|---|
| Provider Enumeration Date | 03/10/2023 |
| Last Update Date | 03/10/2023 |
| Certification Date | 03/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235830969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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