| Moving On The Spectrum Llc | |
|
255 W Main St Bergenfield NJ 07621-1539 | |
| (201) 401-6833 | |
| Not Available |
| Full Name | Moving On The Spectrum Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 255 W Main St, Bergenfield, New Jersey |
| Authorized Official Name and Position | Joseph Michael Albistur (MANAGING MEMBER) |
| Authorized Official Contact | 2014016833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moving On The Spectrum Llc 255 W Main St Bergenfield NJ 07621-1539 Ph: (201) 401-6833 | Moving On The Spectrum Llc 255 W Main St Bergenfield NJ 07621-1539 Ph: (201) 401-6833 |
| NPI Number | 1689209942 |
|---|---|
| Provider Enumeration Date | 03/06/2020 |
| Last Update Date | 03/06/2020 |
| Certification Date | 03/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689209942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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