Sarah Jack Services, LLC
Social Worker, Clinical in Teaneck, NJ. Organization (NPI-2).
NPI number1164022083
StatusActive
Last updated in NPPESOct 29, 2020
Details
- NPI
- 1164022083
- Entity type
- Organization (NPI-2)
- Legal business name
- Sarah Jack Services, LLC
- Organization subpart
- No
- Enumeration date
- Oct 29, 2020
- Certification date
- Oct 29, 2020
- Last updated
- Oct 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
256 Sherman AveTeaneck, NJ 07666-3311
Phone 917-636-7740
Mailing address
256 Sherman AveTeaneck, NJ 07666-3311
Phone 917-636-7740
Authorized official
Sarah Jack
Owner
9176367740
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