| Guided Life Structures | |
|
75 Veterans Memorial Dr E Ste 205 Somerville NJ 08876-2949 | |
| (908) 704-0011 | |
| (908) 704-0711 |
| Full Name | Guided Life Structures |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 75 Veterans Memorial Dr E Ste 205, Somerville, New Jersey |
| Authorized Official Name and Position | Eileen Weber (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9087040011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guided Life Structures 75 Veterans Memorial Dr E Ste 205 Somerville NJ 08876-2949 Ph: (908) 704-0011 | Guided Life Structures 75 Veterans Memorial Dr E Ste 205 Somerville NJ 08876-2949 Ph: (908) 704-0011 |
| NPI Number | 1013427848 |
|---|---|
| Provider Enumeration Date | 10/06/2017 |
| Last Update Date | 10/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013427848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2000133 (New Jersey) | Primary |
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