Organization
FIRSTCHANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NASIR SIMMONS (AGENCY HEAD)
(732) 859-7420
Entity
Organization
Contact information
Practice address
4 CHADWELL CT, NEPTUNE, NJ 07753-4205
(732) 859-7420
Mailing address
4 CHADWELL CT, NEPTUNE, NJ 07753-4205
(732) 859-7420
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
08/08/2023
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