Through the Lifetime LLC
NPI #1104283514 in Roselle, New Jersey
Provider Information
- NPI Number
- 1104283514
- Entity Type
- Organization
- Organization Name
- Through the Lifetime LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jan 15, 2016
- Last Updated
- Jan 15, 2016
Practice Location
- Address
- 133 DENNIS ST
- City
- Roselle
- State
- New Jersey
- ZIP Code
- 07203-2547
- Phone
- (908) 956-3875
Authorized Official
- Name
- SHARON N TEAGUE
- Title
- OWNER
- Phone
- (908) 956-3875
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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