Great U Sports Academy Llc | |
1301 Hancock Dr Apt 1 Barrington NJ 08007-1624 | |
(856) 397-6158 | |
Not Available |
Full Name | Great U Sports Academy Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 1301 Hancock Dr Apt 1, Barrington, New Jersey |
Authorized Official Name and Position | Preston S Brown (OWNER) |
Authorized Official Contact | 8563976158 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Great U Sports Academy Llc 1301 Hancock Dr Apt 1 Barrington NJ 08007-1624 Ph: (856) 397-6158 | Great U Sports Academy Llc 1301 Hancock Dr Apt 1 Barrington NJ 08007-1624 Ph: (856) 397-6158 |
NPI Number | 1972944726 |
---|---|
Provider Enumeration Date | 07/09/2013 |
Last Update Date | 07/09/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972944726 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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