Organization
BALANCED LIVING THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMAAN RAMJAN (OWNER)
(973) 306-4186
Entity
Organization
Contact information
Practice address
91 TAPPAN AVE, BELLEVILLE, NJ 07109-2661
(551) 221-4165
Mailing address
91 TAPPAN AVE, BELLEVILLE, NJ 07109-2661
(551) 221-4165
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
07/09/2024
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