Organization
TO YOUR HEALTH
Active
Parent organization
PROVISION OF PROMISE ECONOMIC DEVELOPEMENT CENTER
Other names
Provision of Promise Economic Developement Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVISION OF PROMISE ECONOMIC DEVELOPEMENT CENTER
Authorized official
DR. ERNEST LEONARD DD (PRESIDENT)
(973) 622-1648
Entity
Organization
Contact information
Practice address
33 LITTLETON AVE, NEWARK, NJ 07107-2031
(973) 622-1648
(973) 923-4939
Mailing address
33 LITTLETON AVE, NEWARK, NJ 07107-2031
(973) 622-1648
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
305S00000X
NJ
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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