Organization
IMMEDIATE CARE CHILDREN PSYCHIATRIC CENTER LLC
Active
Other names
ICCPC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRINIVASA K RAO MD (DIRECTOR)
(973) 794-3281
Entity
Organization
Contact information
Practice address
HILL ROAD, 28-B, PARSIPPANY, NJ 07054
(973) 794-3281
(973) 794-3284
Mailing address
HILL ROAD, 28-B, PARSIPPANY, NJ 07054
(973) 794-3281
(973) 794-3284
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
251S00000X
Community/Behavioral Health Agency
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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