Organization · NPI-2

Bethany Christian Services

Social Worker, Clinical · Fair Lawn, NJ

NPI number1346675378
StatusActive
Last updated in NPPESSep 10, 2013

Details

NPI
1346675378
Entity type
Organization (NPI-2)
Legal business name
Bethany Christian Services
Organization subpart
No
Enumeration date
Sep 10, 2013
Last updated
Sep 10, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical44SC00273700NJYes

Practice location

12-19 River Rd
Fair Lawn, NJ 07410-1843

Phone 201-703-4371 · Fax 201-703-4376

Mailing address

12-19 River Rd
Fair Lawn, NJ 07410-1843

Phone 201-703-4371 · Fax 201-703-4376

Authorized official

Nancy Dykstra-Powers
Director
2017034371

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