Organization
GREAT U SPORTS ACADEMY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRESTON S BROWN M.ED (OWNER)
(856) 397-6158
Entity
Organization
Contact information
Practice address
1301 HANCOCK DR APT 1, BARRINGTON, NJ 08007-1624
(856) 397-6158
Mailing address
1301 HANCOCK DR APT 1, BARRINGTON, NJ 08007-1624
(856) 397-6158
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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