Organization
100KIDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE BELL (BOARD PRESIDENT)
(862) 823-3736
Entity
Organization
Contact information
Practice address
4919 BERGENLINE AVE, WEST NEW YORK, NJ 07093-5510
(201) 898-0317
Mailing address
4919 BERGENLINE AVE, WEST NEW YORK, NJ 07093-5510
(201) 898-0317
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
06/30/2020
Last updated
01/04/2022
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