Organization
EDEN GROUP COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERILL L LYM (EXECUTIVE DIRECTOR)
(201) 788-9665
Entity
Organization
Contact information
Practice address
324 LANTANA AVE, ENGLEWOOD, NJ 07631-1510
(201) 569-2424
(201) 569-2433
Mailing address
324 LANTANA AVE, ENGLEWOOD, NJ 07631-1510
(201) 569-2424
(201) 569-2433
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Enumeration date
03/07/2016
Last updated
05/10/2019
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