| Great U Sports Academy Llc | |
|
1301 Hancock Dr Apt 1 Barrington NJ 08007-1624 | |
| (856) 397-6158 | |
| Not Available |
| Full Name | Great U Sports Academy Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1301 Hancock Dr Apt 1, Barrington, New Jersey |
| Authorized Official Name and Position | Preston S Brown (OWNER) |
| Authorized Official Contact | 8563976158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great U Sports Academy Llc 1301 Hancock Dr Apt 1 Barrington NJ 08007-1624 Ph: (856) 397-6158 | Great U Sports Academy Llc 1301 Hancock Dr Apt 1 Barrington NJ 08007-1624 Ph: (856) 397-6158 |
| NPI Number | 1972944726 |
|---|---|
| Provider Enumeration Date | 07/09/2013 |
| Last Update Date | 07/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972944726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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