| Full Name | Centro Feed |
|---|---|
| Speciality | Psychologist - Health Service |
| Location | 114 Forest View Dr, Avenel, New Jersey |
| Authorized Official Name and Position | Candrick C. Darkashade (PRESIDENT-CEO) |
| Authorized Official Contact | 8484671409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Feed 114 Forest View Dr Avenel NJ 07001-2184 Ph: (848) 467-1409 | Centro Feed 114 Forest View Dr Avenel NJ 07001-2184 Ph: (848) 467-1409 |
| NPI Number | 1790306512 |
|---|---|
| Provider Enumeration Date | 05/04/2020 |
| Last Update Date | 05/04/2020 |
| Certification Date | 05/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790306512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0100X | Psychologist - Health Service | (* (Not Available)) | Primary |
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Creative Consulting Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 Crystal St, Avenel, NJ 07001 Phone: 732-409-3003 Fax: 732-409-3013 | |
Nj Idtf, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1005 Rahway Ave Unit 11b, Avenel, NJ 07001 Phone: 732-874-5321 Fax: 732-518-5220 | |
Mental Health Access Point Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 Forest View Dr, Avenel, NJ 07001 Phone: 848-467-1409 | |
Neuroscience Associates Of New Jersey, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1005 Rahway Ave, Unit 11, Avenel, NJ 07001 Phone: 732-307-5296 Fax: 732-518-5220 |