Activity & Human Performance Center, Llc

NPI 1174857544 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1174857544
Enumeration Date 10/01/2009
Last Updated 10/01/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name MARK HAROLD MARK
Position PRESIDENT/LICENSED PSYCHOLOGIST
Phone (973) 325-3131
Fax (973) 325-3150
Practice Location
89 LAPIS CIR
WEST ORANGE NJ, 07052-2154, US
Phone (973) 325-3131
Fax (973) 325-3150
Business Location
89 LAPIS CIR
WEST ORANGE NJ, 07052-2154, US
Phone (973) 325-3131
Fax (973) 325-3150
Toxanomy
Taxonomy Code 302R00000X
License State New Jersey
License Number 2138
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According to our database, Activity & Human Performance Center, Llc NPI is 1174857544, taxonomy code is 302R00000X and license number is 2138, license state is located at New Jersey. Activity & Human Performance Center, Llc physically located at 89 Lapis Cir, West Orange NJ, 07052-2154. NPI Number 1033115704 has the healthcare provider type.

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1174857544 NPI number is provided on an as is basis without warranty of any kind. 1174857544 is maintained by the National Plan & Provider Enumeration System. The contents of Activity & Human Performance Center, Llc are for informational purposes only.