Organization
85 HOPPER AVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEELIP MHASKE ACSW (CEO)
(201) 312-5599
Entity
Organization
Contact information
Practice address
85 HOPPER AVE, WALDWICK, NJ 07463-1517
(201) 312-5599
Mailing address
85 HOPPER AVE, WALDWICK, NJ 07463-1517
(201) 312-5599
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
10173-01-04
NJ
Other
Enumeration date
03/23/2010
Last updated
03/23/2010
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