Boys & Girls Club Of Newark Wellness Center
Clinic/Center, Mental Health (Including Community Mental Health Center) in Newark, New Jersey
1164006797- Practice location
- 1 Avon Ave, Newark, NJ 07108-2801
- Phone
- 973-242-1200
- Fax
- —
- Last updated
- December 13, 2021
Boys & Girls Club Of Newark Wellness Center is a healthcare organization based in Newark, NJ. Boys & Girls Club Of Newark Wellness Center practices in Newark, NJ. The NPI Number for Boys & Girls Club Of Newark Wellness Center is 1164006797. The current practice location address for Boys & Girls Club Of Newark Wellness Center is 1 Avon Ave, Newark, NJ 07108-2801 and can be reached out via phone at 973-242-1200.
Provider Profile Details
- NPI Number
- 1164006797
- Provider Name
- Boys & Girls Club Of Newark Wellness Center
- Provider Entity Type
- Organization
- Address
- 1 Avon Ave, Newark, NJ 07108-2801
- Phone Number
- 973-242-1200
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- Yes
- Parent Organization
- Boys & Girls Club Of Newark
- Authorized Official
- Gardan Speights, LCSW · Director Of Community Wellness · 646-236-5695
- Provider Enumeration Date
- May 10, 2021
- Last Update Date
- December 13, 2021
- Certification Date
- December 13, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Avon Ave
Newark, NJ 07108-2801 - City
- Newark
- State
- New Jersey
- Zip
- 07108-2801
- Phone Number
- 973-242-1200
Provider Business Mailing Address Details
- Address
- 1 Avon Ave
Newark, NJ 07108-2801 - City
- Newark
- State
- NJ
- Zip
- 07108-2801
- Phone Number
- 973-242-1200
License Information
- Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Boys & Girls Club Of Newark Wellness Center?
The NPI number of Boys & Girls Club Of Newark Wellness Center is 1164006797. It was assigned on May 10, 2021 and is currently active in the NPPES registry.
What is the specialty of Boys & Girls Club Of Newark Wellness Center?
Boys & Girls Club Of Newark Wellness Center is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X).
Where does Boys & Girls Club Of Newark Wellness Center practice?
The practice location is 1 Avon Ave, Newark, NJ 07108-2801. The office can be reached at 973-242-1200 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164006797 directly on the NPPES registry website.