Organization
ACTIVE COMMUNITY SERVICES LLC
Active
Other names
-- Year --
Organization subpart
No
Provider details
NPI number
Authorized official
MISS EVELYN AGYARE BS PSYCHOLOGY (PROVIDER)
(973) 930-3545
Entity
Organization
Contact information
Practice address
124 HIGH, SAME, NEWTON, NJ 07860
(201) 349-0724
Mailing address
124 HIGH, SAME, NEWTON, NJ 07860
(201) 349-0724
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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