Innovative Community Access INC
NPI #1700270212 in Park Ridge, New Jersey
Provider Information
- NPI Number
- 1700270212
- Entity Type
- Organization
- Organization Name
- Innovative Community Access INC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Mar 23, 2015
- Last Updated
- Mar 23, 2015
Practice Location
- Address
- 272 PROSPECT AVE
- City
- Park Ridge
- State
- New Jersey
- ZIP Code
- 07656-2515
- Phone
- (201) 486-9500
Authorized Official
- Name
- MS. REGINA ARDIZONE, OTR
- Title
- OWNER
- Phone
- (201) 486-9500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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