Organization
THE EATING DISORDER SPACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAISY HABIB RDN (FOUNDER/REGISTERED DIETITIAN)
(973) 814-1634
Entity
Organization
Contact information
Practice address
90 MOUNT HOPE RD, ROCKAWAY, NJ 07866-1626
(201) 500-5351
Mailing address
90 MOUNT HOPE RD, ROCKAWAY, NJ 07866-1626
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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