Organization
ROLES IN THE COMMUNITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE BETHEA (CEO/ADMINSTRATOR)
(908) 266-5871
Entity
Organization
Contact information
Practice address
137 LEHIGH AVE, NEWARK, NJ 07112-2037
(862) 218-6089
Mailing address
137 LEHIGH AVE, NEWARK, NJ 07112-2037
(862) 218-6089
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
09/30/2022
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