| Rebuild Your Life Llc | |
|
488 Glassboro Rd Suite 104, First Floor Woodbury Hts NJ 08097-1400 | |
| (856) 904-8888 | |
| (856) 853-0024 |
| Full Name | Rebuild Your Life Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 488 Glassboro Rd, Woodbury Hts, New Jersey |
| Authorized Official Name and Position | Kathleen Oriti (OWNER) |
| Authorized Official Contact | 8569048888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebuild Your Life Llc 488 Glassboro Rd Suite 104, First Floor Woodbury Hts NJ 08097-1400 Ph: (856) 904-8888 | Rebuild Your Life Llc 488 Glassboro Rd Suite 104, First Floor Woodbury Hts NJ 08097-1400 Ph: (856) 904-8888 |
| NPI Number | 1992081517 |
|---|---|
| Provider Enumeration Date | 10/27/2011 |
| Last Update Date | 10/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992081517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1632435 (New Jersey) | Primary |