| Striving Kids In Progress Llc | |
|
152 Nesbit Ter Irvington NJ 07111-2203 | |
| (866) 373-7547 | |
| (973) 372-7005 |
| Full Name | Striving Kids In Progress Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 152 Nesbit Ter, Irvington, New Jersey |
| Authorized Official Name and Position | Sherlin Simon (MANAGING MEMBER) |
| Authorized Official Contact | 9738680160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Striving Kids In Progress Llc 152 Nesbit Ter Irvington NJ 07111-2203 Ph: (866) 373-7547 | Striving Kids In Progress Llc 152 Nesbit Ter Irvington NJ 07111-2203 Ph: (866) 373-7547 |
| NPI Number | 1538204714 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538204714 | NPI | - | NPPES |
| 0090182 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0090182 (New Jersey) | Primary |
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