Organization
ADVANCED CAPABILITIES
Active
Organization
ADVANCED CAPABILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN STEVE RUIZ LCSW (OWNER)
(862) 220-2682
Entity
Organization
Contact information
Practice address
413 CONOVER ST, SOUTH AMBOY, NJ 08879-1207
(732) 727-2562
Mailing address
413 CONOVER ST, SOUTH AMBOY, NJ 08879-1207
(732) 727-2562
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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