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He is a Community/Behavioral Health Agency in Newark, New Jersey. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
191 Ivy StNewark, NJ 07106-2840
Phone: (973) 801-3208
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Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1699647537 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tiffany Parmley — Ceo · (609) 686-3371 |
| NPI enumerated | September 20, 2025 |
| Last updated in NPPES | September 20, 2025 |
| Certification date | September 20, 2025 |
| Mailing address | 191 Ivy St, Newark, NJ 07106-2840 |
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