Leading Youth Through Experience, Llc

NPI 1225240633 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1225240633
Enumeration Date 05/06/2007
Last Updated 08/16/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JASON MARK JASON
Position EXECUTIVE DIRECTOR
Phone (732) 458-3201
Fax (732) 458-3269
Practice Location
448 19TH AVE
BRICK NJ, 08724, US
Phone (732) 458-3201
Fax (732) 458-3269
Business Location
PO BOX D
BRICK NJ, 08723-0055, US
Phone (732) 458-3201
Fax
Toxanomy
Taxonomy Code 251S00000X
License State New Jersey
License Number 44SC04652800
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According to our database, Leading Youth Through Experience, Llc NPI is 1225240633, taxonomy code is 251S00000X and license number is 44SC04652800, license state is located at New Jersey. Leading Youth Through Experience, Llc physically located at 448 19th Ave, Brick NJ, 08724. NPI Number 1033115704 has the healthcare provider type.

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1225240633 NPI number is provided on an as is basis without warranty of any kind. 1225240633 is maintained by the National Plan & Provider Enumeration System. The contents of Leading Youth Through Experience, Llc are for informational purposes only.