Organization
FAST TRACK SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HICHAM RAHI (DIRECTOR)
(201) 600-9148
Entity
Organization
Contact information
Practice address
203 BROADWAY, BAYONNE, NJ 07002-2467
(201) 600-9148
(856) 219-4790
Mailing address
203 BROADWAY, BAYONNE, NJ 07002-2467
(201) 600-9148
(856) 219-4790
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/14/2019
Last updated
03/27/2023
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