Centro Feed
NPI #1790306512 in Avenel, New Jersey
Provider Information
- NPI Number
- 1790306512
- Entity Type
- Organization
- Organization Name
- Centro Feed
- Primary Specialty
- Psychologist - Health Service
- Enumeration Date
- May 4, 2020
- Last Updated
- May 4, 2020
Practice Location
- Address
- 114 FOREST VIEW DR
- City
- Avenel
- State
- New Jersey
- ZIP Code
- 07001-2184
- Phone
- (848) 467-1409
Authorized Official
- Name
- DR. CANDRICK C. DARKASHADE, PHD.
- Title
- PRESIDENT-CEO
- Phone
- (848) 467-1409
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Health Service — Health Service |
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