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Organization

CATHOLIC CHARITIES DIOCESE OF METUCHEN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DESI ISIDRO (CLINICAL SUPERVISOR)
(732) 738-1323
Entity
Organization

Contact information

Practice address
26 SAFRAN AVE, EDISON, NJ 08837-3510
(732) 738-1323
(732) 738-3896
Mailing address
26 SAFRAN AVE, EDISON, NJ 08837-3510
(732) 738-1323
(732) 738-3896

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
37AC00142600
NJ

Other

Enumeration date
06/05/2013
Last updated
06/05/2013
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