Organization
LIFE STRATEGIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA GOURDINE APN C (CLINICAL DIRECTOR)
(201) 224-5200
Entity
Organization
Contact information
Practice address
83 SUMMIT AVE, 2ND FLR, HACKENSACK, NJ 07601-1262
(201) 224-5200
(201) 224-0599
Mailing address
83 SUMMIT AVE, 2ND FLR, HACKENSACK, NJ 07601
(201) 224-5200
(201) 224-0599
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
26NJ00080100
NJ
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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