Organization
NADI
Active
Other names
APSEA
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID F. LO (CFO)
(201) 562-3603
Entity
Organization
Contact information
Practice address
121 E LAUREL RD, STRATFORD, NJ 08084-1324
(201) 562-3603
Mailing address
121 E LAUREL RD, STRATFORD, NJ 08084-1324
(201) 562-3603
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
Other
Enumeration date
09/25/2024
Last updated
10/02/2024
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