| Tjygcp Inc | |
|
347 Cliffwood Ave Suite B Cliffwood NJ 07721-1131 | |
| (888) 609-3396 | |
| (800) 609-3396 |
| Full Name | Tjygcp Inc |
|---|---|
| Speciality | Voluntary Or Charitable |
| Location | 347 Cliffwood Ave, Cliffwood, New Jersey |
| Authorized Official Name and Position | Lavonne Henderson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8886093396 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tjygcp Inc 4142 Ogletown Stanton Rd Suite 251 Newark DE 19713-4169 Ph: (888) 609-3396 | Tjygcp Inc 347 Cliffwood Ave Suite B Cliffwood NJ 07721-1131 Ph: (888) 609-3396 |
| NPI Number | 1639443112 |
|---|---|
| Provider Enumeration Date | 03/01/2012 |
| Last Update Date | 10/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639443112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251V00000X | Voluntary Or Charitable | (* (Not Available)) | Primary |
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