Organization · NPI-2

Aida Rodriguez Lcsw LLC

Community/Behavioral Health · Brick, NJ

NPI number1508250218
StatusActive
Last updated in NPPESMar 20, 2015

Details

NPI
1508250218
Entity type
Organization (NPI-2)
Legal business name
Aida Rodriguez Lcsw LLC
Organization subpart
No
Enumeration date
Mar 20, 2015
Last updated
Mar 20, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health44SC05454300NJYes

Practice location

990 Cedar Bridge Ave
Suite B7 Pmb 133
Brick, NJ 08723-4159

Phone 973-997-6212 · Fax 732-746-4201

Mailing address

990 Cedar Bridge Ave
Suite B7 Pmb 133
Brick, NJ 08723-4159

Phone 973-997-6212 · Fax 732-746-4201

Authorized official

Aida Rodriguez
President
9739976212

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