Organization
YOUTH DEVELOPMENT CLINIC OF NEWARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA CONNORS M.D. (CEO)
(973) 623-5080
Entity
Organization
Contact information
Practice address
500 BROAD ST, 3RD FLOOR, SUITE 1, NEWARK, NJ 07102-3112
(973) 623-5080
Mailing address
500 BROAD STREET, 3RD FLOOR, SUITE 1, NEWARK, NJ 07102
(973) 623-5080
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NJ
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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