Organization
SMARTKID SUCCESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHOO JAIN (EXECUTIVE DIRECTOR)
(732) 925-2195
Entity
Organization
Contact information
Practice address
176 US 9 NORTH, SUITE 202 NORTHPOINT BUILDING, ENGLISHTOWN, NJ 07726
(732) 925-2195
Mailing address
176 US 9 NORTH, SUITE 202 NORTHPOINT BUILDING, ENGLISHTOWN, NJ 07726
(732) 925-2195
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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