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A Revolving Door

Community/Behavioral Health in Jersey City, NJ. Organization (NPI-2).

NPI number1346694155
StatusActive
Last updated in NPPESApr 18, 2016

Details

NPI
1346694155
Entity type
Organization (NPI-2)
Legal business name
A Revolving Door
Organization subpart
No
Enumeration date
Apr 18, 2016
Last updated
Apr 18, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
251B00000X Case Management––

Practice location

94 Stevens Ave
Jersey City, NJ 07305-3054

Phone 252-903-0768

Mailing address

94 Stevens Ave
Jersey City, NJ 07305-3054

Authorized official

Lisa Mercer
Director
2529030768

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