| Supreme Consultants, Limited Liability Company | |
|
71 Union Avenue Suite 207 Rutherford NJ 07070 | |
| (201) 372-9600 | |
| (201) 372-9550 |
| Full Name | Supreme Consultants, Limited Liability Company |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 71 Union Avenue, Rutherford, New Jersey |
| Authorized Official Name and Position | Hernolde Gustavo Estrada (CEO) |
| Authorized Official Contact | 2013729600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supreme Consultants, Limited Liability Company 71 Union Avenue Suite 207 Rutherford NJ 07070 Ph: (201) 372-9600 | Supreme Consultants, Limited Liability Company 71 Union Avenue Suite 207 Rutherford NJ 07070 Ph: (201) 372-9600 |
| NPI Number | 1760368559 |
|---|---|
| Provider Enumeration Date | 08/15/2025 |
| Last Update Date | 08/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760368559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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