Organization
URBAN LIFE SKILLS ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARKIM SHAKUR-PURVIS MA, LPC, LCADC (DIRECTOR)
(732) 682-4343
Entity
Organization
Contact information
Practice address
1426 7TH AVE, NEPTUNE, NJ 07753-4944
(732) 682-4343
(732) 361-8142
Mailing address
1426 7TH AVE, NEPTUNE, NJ 07753-4944
(732) 682-4343
(732) 361-8142
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
37PC00471600
NJ
Other
Enumeration date
04/07/2016
Last updated
04/26/2016
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