| Interstate Facts, Llc | |
|
238 Main St Suite 102 Hackensack NJ 07601-7323 | |
| (201) 488-5188 | |
| (201) 488-5189 |
| Full Name | Interstate Facts, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 238 Main St, Hackensack, New Jersey |
| Authorized Official Name and Position | Kathryn A Dixon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2014885188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Interstate Facts, Llc 238 Main St Suite 102 Hackensack NJ 07601-7323 Ph: (201) 488-5188 | Interstate Facts, Llc 238 Main St Suite 102 Hackensack NJ 07601-7323 Ph: (201) 488-5188 |
| NPI Number | 1730328451 |
|---|---|
| Provider Enumeration Date | 02/19/2009 |
| Last Update Date | 02/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730328451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 44SC01011300 (New Jersey) | Primary |
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