Organization
SUPPORTING ABILITIES FOR ENRICHMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANS TURENNE (CHIEF EXECUTIVE OFFICER)
(347) 470-7621
Entity
Organization
Contact information
Practice address
78 JOHN MILLER WAY STE 2001, KEARNY, NJ 07032-6500
(347) 470-7621
Mailing address
78 JOHN MILLER WAY STE 2001, KEARNY, NJ 07032-6500
(347) 470-7621
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/25/2023
Last updated
01/08/2024
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