| The Passion Care Center | |
|
187 Fayette St Perth Amboy NJ 08861-4140 | |
| (267) 909-8264 | |
| (215) 525-0272 |
| Full Name | The Passion Care Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 187 Fayette St, Perth Amboy, New Jersey |
| Authorized Official Name and Position | Omar Riley (ACCOUNT MANAGER) |
| Authorized Official Contact | 2679098264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Passion Care Center 187 Fayette St Perth Amboy NJ 08861-4140 Ph: (267) 909-8264 | The Passion Care Center 187 Fayette St Perth Amboy NJ 08861-4140 Ph: (267) 909-8264 |
| NPI Number | 1164913786 |
|---|---|
| Provider Enumeration Date | 05/21/2018 |
| Last Update Date | 05/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164913786 | NPI | - | NPPES |
| 0398012 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (New Jersey) | Primary |
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