Organization
BOYS & GIRLS CLUB OF NEWARK WELLNESS CENTER
Active
Parent organization
BOYS & GIRLS CLUB OF NEWARK
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOYS & GIRLS CLUB OF NEWARK
Authorized official
GARDAN SPEIGHTS LCSW (DIRECTOR OF COMMUNITY WELLNESS)
(646) 236-5695
Entity
Organization
Contact information
Practice address
1 AVON AVE, NEWARK, NJ 07108-2801
(973) 242-1200
Mailing address
1 AVON AVE, NEWARK, NJ 07108-2801
(973) 242-1200
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
12/13/2021
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