| Proud Aba Llc | |
|
57 Maiden Ln Bergenfield NJ 07621-4127 | |
| (201) 449-3223 | |
| Not Available |
| Full Name | Proud Aba Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 57 Maiden Ln, Bergenfield, New Jersey |
| Authorized Official Name and Position | Shaya Fink (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3158595431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proud Aba Llc 57 Maiden Ln Bergenfield NJ 07621-4127 Ph: (315) 859-5431 | Proud Aba Llc 57 Maiden Ln Bergenfield NJ 07621-4127 Ph: (201) 449-3223 |
| NPI Number | 1295622850 |
|---|---|
| Provider Enumeration Date | 06/18/2025 |
| Last Update Date | 06/18/2025 |
| Certification Date | 06/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295622850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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