Organization
KIDS N HEART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISRAEL TERKELTAUB (MEMBER)
(848) 240-2825
Entity
Organization
Contact information
Practice address
555 S MANGUM ST STE 100, DURHAM, NC 27701-4689
(646) 470-2032
Mailing address
812 E COUNTY LINE RD, LAKEWOOD, NJ 08701-2032
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
06/12/2023
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