Youth Development Clinic Of Newark

NPI 1316239643 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1316239643
Enumeration Date 05/04/2011
Last Updated 05/04/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name PATRICIA PATRICIA
Position CEO
Phone (973) 623-5080
Fax
Practice Location
500 BROAD ST
3RD FLOOR, SUITE 1
NEWARK NJ, 07102-3112, US
Phone (973) 623-5080
Fax
Business Location
500 BROAD STREET
3RD FLOOR, SUITE 1
NEWARK NJ, 07102, US
Phone (973) 623-5080
Fax
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
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According to our database, Youth Development Clinic Of Newark NPI is 1316239643, taxonomy code is 251S00000X Youth Development Clinic Of Newark physically located at 500 Broad St, Newark NJ, 07102-3112. NPI Number 1033115704 has the healthcare provider type.

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1316239643 NPI number is provided on an as is basis without warranty of any kind. 1316239643 is maintained by the National Plan & Provider Enumeration System. The contents of Youth Development Clinic Of Newark are for informational purposes only.