Organization
TALILEVINLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVITAL LEVIN LCSW (OWNER)
(609) 924-3615
Entity
Organization
Contact information
Practice address
177 MEADOWBROOK DR, PRINCETON, NJ 08540-3664
(609) 924-3615
Mailing address
177 MEADOWBROOK DR, PRINCETON, NJ 08540-3664
(609) 924-3615
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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