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Organization

SERV CENTERS OF NEW JERSEY, INC

Active
Other names
Clifton Family Outpatient Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES J ROSE CPA (CFO)
(609) 406-0100
Entity
Organization

Contact information

Practice address
777 BLOOMFIELD AVE STE B, SUITE B, CLIFTON, NJ 07012-1242
(973) 594-0125
Mailing address
20 SCOTCH RD, EWING, NJ 08628-2503
(609) 406-0100

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
500049704
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00144001
NJ
Enumeration date
08/17/2006
Last updated
04/09/2009
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