Safeway Independent Services, LLC
NPI #1659831782 in Sicklerville, New Jersey
Provider Information
- NPI Number
- 1659831782
- Entity Type
- Organization
- Organization Name
- Safeway Independent Services, LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Mar 24, 2019
- Last Updated
- Mar 24, 2019
Practice Location
- Address
- 130 VILLAGE GREEN LN
- City
- Sicklerville
- State
- New Jersey
- ZIP Code
- 08081-1641
- Phone
- (718) 962-4247
Authorized Official
- Name
- RUSSELL SHEREIF SPRINGER
- Title
- PRESIDENT
- Phone
- (718) 962-4247
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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