Organization
ARBOR INTEGRATIVE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY SAN GIACOMO LCSW (CEO)
(973) 903-1613
Entity
Organization
Contact information
Practice address
42 MARLEY AVE, CEDAR GROVE, NJ 07009-1139
(973) 903-1613
Mailing address
42 MARLEY AVE, CEDAR GROVE, NJ 07009-1139
(973) 903-1613
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/31/2024
Last updated
06/04/2024
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