Im So Yoga
Im So Yoga is a Community/Behavioral Health Agency in Newark, New Jersey. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 5
Practice location Address checks out
1186 Raymond Blvd Fl 4Newark, NJ 07102-4108
Phone: (862) 236-3376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
| Mental Health Clinic/Center (Including Community Mental Health Center) | Taxonomy 261QM0801X |
| Health Maintenance Organization | Taxonomy 302R00000X |
| Point of Service | Taxonomy 305S00000X |
Record details
| NPI number | 1740924687 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Leslie Hernandez — Ceo · (862) 236-3376 |
| Other names | Im So Yoga Newark |
| NPI enumerated | April 26, 2022 |
| Last updated in NPPES | April 26, 2022 |
| Certification date | April 26, 2022 |
| Mailing address | 15 Warren St Apt 2, Newark, NJ 07102-3089 |
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