Organization
ENDEAVOR THERAPY GROUP LLC
Active
Organization
ENDEAVOR THERAPY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER LYNN MARINO LSW (EXECUTIVE DIRECTOR)
(201) 888-3462
Entity
Organization
Contact information
Practice address
6 HEGNER CT, SOUTH HACKENSACK, NJ 07606-1701
(201) 888-3462
Mailing address
6 HEGNER CT, SOUTH HACKENSACK, NJ 07606-1701
(201) 888-3462
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
44SL05888100
NJ
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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