| Innovative Learning Group | |
|
29 Garden Ave Hawthorne NJ 07506-1518 | |
| (973) 886-8768 | |
| Not Available |
| Full Name | Innovative Learning Group |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 29 Garden Ave, Hawthorne, New Jersey |
| Authorized Official Name and Position | Maricruz Castillo (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9738868768 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Learning Group Po Box 396 Hawthorne NJ 07507-0396 Ph: (973) 886-8768 | Innovative Learning Group 29 Garden Ave Hawthorne NJ 07506-1518 Ph: (973) 886-8768 |
| NPI Number | 1851696983 |
|---|---|
| Provider Enumeration Date | 01/20/2011 |
| Last Update Date | 01/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851696983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1-10-7128 (New Jersey) | Primary |
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