Organization
PROJECT99, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY M SIMMONS (CO-FOUNDER)
(973) 565-9199
Entity
Organization
Contact information
Practice address
212 SHORT HILLS AVE, SUITE 202, SPRINGFIELD, NJ 07081-1040
(973) 565-9199
(973) 565-9599
Mailing address
PO BOX 388, NEWARK, NJ 07101-0388
(973) 565-9199
(973) 565-9599
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023558
—
NJ
05
—
0046124
—
NJ
05
—
0046213
—
NJ
Enumeration date
04/06/2007
Last updated
06/30/2016
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