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Organization

GLASCOW HEALTH SERVICES LLC

Active
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Organization

GLASCOW HEALTH SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VICTOR CLARK (OWNER/ DIRECTOR)
(757) 582-1629
Entity
Organization

Contact information

Practice address
22 E QUACKENBUSH AVE, DUMONT, NJ 07628-3055
(757) 582-1629
Mailing address
22 E QUACKENBUSH AVE, DUMONT, NJ 07628-3055

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NJ
251S00000X
Community/Behavioral Health Agency
VA

Other

Enumeration date
03/11/2016
Last updated
03/11/2016
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