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Organization
SIX PATHS OF HEALTH
Active
Organization
SIX PATHS OF HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASAN LANE (AGENCY HEAD)
(973) 609-0207
Entity
Organization
Contact information
Practice address
40 TREMONT TER, IRVINGTON, NJ 07111-3710
(973) 609-0207
Mailing address
40 TREMONT TER, IRVINGTON, NJ 07111-3710
(973) 609-0207
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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