Premier Counseling & Consulting Group, Llc | |
302 Rivendell Way Edison NJ 08817-2008 | |
(732) 579-3477 | |
Not Available |
Full Name | Premier Counseling & Consulting Group, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 302 Rivendell Way, Edison, New Jersey |
Authorized Official Name and Position | Hasan Johnson (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7325793477 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Premier Counseling & Consulting Group, Llc 302 Rivendell Way Edison NJ 08817-2008 Ph: (732) 579-3477 | Premier Counseling & Consulting Group, Llc 302 Rivendell Way Edison NJ 08817-2008 Ph: (732) 579-3477 |
NPI Number | 1144435561 |
---|---|
Provider Enumeration Date | 05/11/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144435561 | NPI | - | NPPES |
0048810 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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