Rebecca J. Eliason LLC
Clinic/Center, Adolescent and Children Mental Health in Fair Lawn, NJ. Organization (NPI-2).
NPI number1366957169
StatusActive
Last updated in NPPESDec 4, 2017
Details
- NPI
- 1366957169
- Entity type
- Organization (NPI-2)
- Legal business name
- Rebecca J. Eliason LLC
- Organization subpart
- No
- Enumeration date
- Dec 4, 2017
- Last updated
- Dec 4, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – |
Practice location
5-11 Saddle River Rd Ste 2bFair Lawn, NJ 07410-5636
Phone 201-416-9383
Mailing address
5-11 Saddle River Rd Ste 2bFair Lawn, NJ 07410-5636
Phone 201-416-9383
Authorized official
Rebecca Jill Eliason
Member
2014169383
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