Organization
HAVEN OF HOPE EATING DISORDER CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELI FISCH (PRINCIPAL)
(732) 887-7136
Entity
Organization
Contact information
Practice address
890 N HOUSTON LEVEE RD, CORDOVA, TN 38018-6614
(732) 887-7136
Mailing address
32 CROSS ST STE 203, LAKEWOOD, NJ 08701-5572
(732) 887-7136
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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