| Iic | |
|
284 Bunns Ln Woodbridge NJ 07095-1621 | |
| (732) 333-7101 | |
| Not Available |
| Full Name | Iic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 284 Bunns Ln, Woodbridge, New Jersey |
| Authorized Official Name and Position | Eliecia Eason (INTENSIVE IN COMMUNITY) |
| Authorized Official Contact | 7323337101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iic 284 Bunns Ln Woodbridge NJ 07095-1621 Ph: () - | Iic 284 Bunns Ln Woodbridge NJ 07095-1621 Ph: (732) 333-7101 |
| NPI Number | 1649065749 |
|---|---|
| Provider Enumeration Date | 04/10/2025 |
| Last Update Date | 04/10/2025 |
| Certification Date | 04/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649065749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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