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Organization
BLUE HOPE SUPPORTIVE CARE
Active
Organization
BLUE HOPE SUPPORTIVE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARMY PIERRE-LOUIS LAC (MANAGING MEMBER)
(973) 868-9640
Entity
Organization
Contact information
Practice address
260 NESBIT TER, IRVINGTON, NJ 07111-1773
(973) 868-9640
Mailing address
260 NESBIT TER, IRVINGTON, NJ 07111-1773
(973) 868-9640
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
NULL
103TC1900X
Counseling Psychologist
—
—
251B00000X
Case Management Agency
Primary
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
10/21/2013
Last updated
08/13/2020
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