Organization
BLUE HOPE SUPPORTIVE CARE LLC
Active
Parent organization
BLUE HOPE SUPPORTIVE CARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLUE HOPE SUPPORTIVE CARE LLC
Authorized official
MS. SHARMY PIERRE-LOUIS LPC (EXECUTIVE DIRECTOR)
(973) 848-9640
Entity
Organization
Contact information
Practice address
260 NESBIT TER, IRVINGTON, NJ 07111-1773
(973) 943-0720
Mailing address
260 NESBIT TER, IRVINGTON, NJ 07111-1773
(973) 868-9640
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0409308
—
NJ
Enumeration date
02/05/2019
Last updated
10/05/2020
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