Organization
ALAS POOR YORICK LLC
Active
Organization
ALAS POOR YORICK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN COLLERY LCSW (PRIMARY THERAPIST)
(732) 443-3558
Entity
Organization
Contact information
Practice address
171 MAIN ST, METUCHEN, NJ 08840-2744
(732) 443-3558
Mailing address
PO BOX 1557, NEW BRUNSWICK, NJ 08903-1557
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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