Organization
250 HIGHLAND AVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CARR (OWNER)
(973) 592-1512
Entity
Organization
Contact information
Practice address
2115 MILLBURN AVENUE, MAPLEWOOD, NJ 07040
(973) 592-1512
Mailing address
41 WATCHUNG PLZ STE 189, MONTCLAIR, NJ 07042-4117
(973) 592-1512
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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