Iep Youth Services, Inc.

NPI 1104184506 - Community Based Residential Treatment Facility, Mental Illness - 320800000X

NPI Details
NPI 1104184506
Enumeration Date 04/24/2012
Last Updated 04/24/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name SHARON SHARON
Position CFO
Phone (732) 431-2663
Fax (732) 409-3634
Practice Location
75 W MAIN ST
FREEHOLD NJ, 07728-2114, US
Phone (732) 431-2663
Fax (732) 409-3634
Business Location
75 W MAIN ST
FREEHOLD NJ, 07728-2114, US
Phone (732) 431-2663
Fax (732) 409-3634
Toxanomy
Taxonomy Code 320800000X
License State New Jersey
License Number 4140
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According to our database, Iep Youth Services, Inc. NPI is 1104184506, taxonomy code is 320800000X and license number is 4140, license state is located at New Jersey. Iep Youth Services, Inc. physically located at 75 W Main St, Freehold NJ, 07728-2114. NPI Number 1033115704 has the healthcare provider type.

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1104184506 NPI number is provided on an as is basis without warranty of any kind. 1104184506 is maintained by the National Plan & Provider Enumeration System. The contents of Iep Youth Services, Inc. are for informational purposes only.