| Na | |
|
137 Evergreen Pl # 3 East Orange NJ 07018-2005 | |
| (917) 601-0669 | |
| Not Available |
| Full Name | Na |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 137 Evergreen Pl # 3, East Orange, New Jersey |
| Authorized Official Name and Position | Henry Eromosele (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5162805930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Na 71 N Franklin St # 211 Hempstead NY 11550-3048 Ph: (516) 280-5930 | Na 137 Evergreen Pl # 3 East Orange NJ 07018-2005 Ph: (917) 601-0669 |
| NPI Number | 1477999712 |
|---|---|
| Provider Enumeration Date | 05/14/2013 |
| Last Update Date | 05/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477999712 | NPI | - | NPPES |
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