| United Behavioral Healthcare Clinic Llc | |
|
315 Elmora Ave Elizabeth NJ 07208-1383 | |
| (347) 781-1567 | |
| Not Available |
| Full Name | United Behavioral Healthcare Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 315 Elmora Ave, Elizabeth, New Jersey |
| Authorized Official Name and Position | Islam Momen (OWNER) |
| Authorized Official Contact | 3477811567 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United Behavioral Healthcare Clinic Llc 315 Elmora Ave Elizabeth NJ 07208-1383 Ph: () - | United Behavioral Healthcare Clinic Llc 315 Elmora Ave Elizabeth NJ 07208-1383 Ph: (347) 781-1567 |
| NPI Number | 1124770698 |
|---|---|
| Provider Enumeration Date | 01/25/2022 |
| Last Update Date | 01/25/2022 |
| Certification Date | 01/25/2022 |
| Medicare PECOS PAC ID | 0244612158 |
|---|---|
| Medicare Enrollment ID | O20220809000294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124770698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jean M Christie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891912341 PECOS PAC ID: 2062789449 Enrollment ID: I20170607000090 |
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