Organization
ABACUE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UGOCHI ABAZIE DNP, PMHNP, BSN, BSC (ADVANCE PRACTICE NURSE)
(732) 423-7114
Entity
Organization
Contact information
Practice address
1124 APPLEGATE AVE, ELIZABETH, NJ 07202-2404
(732) 423-7114
Mailing address
1124 APPLEGATE AVE, ELIZABETH, NJ 07202-2404
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0712078
—
NJ
Enumeration date
06/14/2021
Last updated
06/14/2021
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