250 Highland Ave LLC
NPI #1093579039 in Maplewood, New Jersey
Provider Information
- NPI Number
- 1093579039
- Entity Type
- Organization
- Organization Name
- 250 Highland Ave LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Feb 9, 2024
- Last Updated
- Feb 9, 2024
Practice Location
- Address
- 2115 MILLBURN AVENUE
- City
- Maplewood
- State
- New Jersey
- ZIP Code
- 07040
- Phone
- (973) 592-1512
Authorized Official
- Name
- WILLIAM CARR
- Title
- OWNER
- Phone
- (973) 592-1512
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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