| Regroup Princetta's Behvaioral Health Services,llc | |
|
Park Ave Ste 7 Plainfield NJ 07060 | |
| (908) 755-3392 | |
| Not Available |
| Full Name | Regroup Princetta's Behvaioral Health Services,llc |
|---|---|
| Speciality | Social Worker |
| Location | Park Ave Ste 7, Plainfield, New Jersey |
| Authorized Official Name and Position | Princetta A. Edwards (PSYCHOTHERAPIST/PRESIDENT/CEO) |
| Authorized Official Contact | 9087553392 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regroup Princetta's Behvaioral Health Services,llc Po Box 512 Fanwood NJ 07023-0512 Ph: (908) 755-3392 | Regroup Princetta's Behvaioral Health Services,llc Park Ave Ste 7 Plainfield NJ 07060 Ph: (908) 755-3392 |
| NPI Number | 1013246966 |
|---|---|
| Provider Enumeration Date | 12/23/2009 |
| Last Update Date | 12/23/2009 |
| Medicare PECOS PAC ID | 0143366732 |
|---|---|
| Medicare Enrollment ID | O20100427000090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013246966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (New Jersey) | Primary |
| Provider Name | Princetta A Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215081385 PECOS PAC ID: 6204843287 Enrollment ID: I20060316000008 |
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