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Organization

STRIVING KIDS IN PROGRESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SHERLIN SIMON (MANAGING MEMBER)
(973) 868-0160
Entity
Organization

Contact information

Practice address
152 NESBIT TER, IRVINGTON, NJ 07111-2203
(866) 373-7547
(973) 372-7005
Mailing address
152 NESBIT TER, IRVINGTON, NJ 07111-2203
(866) 373-7547
(973) 372-7005

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0090182
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0090182
NJ
Enumeration date
02/21/2007
Last updated
08/22/2020
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