Organization
BRISANDE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENYA SIMON (MEMBER)
(609) 915-2390
Entity
Organization
Contact information
Practice address
12 ELMONT RD, HAMILTON, NJ 08610-1204
(609) 915-2390
Mailing address
12 ELMONT RD, HAMILTON, NJ 08610-1204
(609) 915-2390
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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