Organization
PAPA GANACHE, LLP
Active
Organization
PAPA GANACHE, LLP
Active
Other names
PG - Strengths Development Program
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA DALE SIROTI LCSW (PRINCIPAL)
(732) 770-0428
Entity
Organization
Contact information
Practice address
25 CHURCH ST, KEYPORT, NJ 07735-1508
(732) 217-1750
(732) 217-1749
Mailing address
25 CHURCH ST, KEYPORT, NJ 07735-1508
(732) 217-1750
(732) 217-1749
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
44SC05262800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0224031
—
NJ
Enumeration date
05/18/2010
Last updated
12/28/2010
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