The Starter House Community Living Center | |
347 Lake St Apt A4 Newark NJ 07104-1241 | |
(973) 207-7329 | |
Not Available |
Full Name | The Starter House Community Living Center |
---|---|
Speciality | Community/behavioral Health |
Location | 347 Lake St Apt A4, Newark, New Jersey |
Authorized Official Name and Position | Kenya C Harris (OWNER) |
Authorized Official Contact | 9732077329 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Starter House Community Living Center 347 Lake St Apt A4 Newark NJ 07104-1241 Ph: (973) 207-7329 | The Starter House Community Living Center 347 Lake St Apt A4 Newark NJ 07104-1241 Ph: (973) 207-7329 |
NPI Number | 1013582576 |
---|---|
Provider Enumeration Date | 05/26/2021 |
Last Update Date | 05/26/2021 |
Certification Date | 05/26/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013582576 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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