NPI 1205957917

McG Bh Pact Program

Organisation Case Management Agency Newark, NJ

Practice location

Address: 269 Oliver St, Newark, NJ 07105-2507
Phone: (973) 466-1351
Mailing address: 1 Carpenter Rd, Piscataway, NJ 08854-5280

Authorised official

Name: Charity O Ezeala
Title: RN
Phone: (973) 466-1351

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence 26NR09838600 (NJ)

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Registry record

NPI: 1205957917
Entity type: Organization
NPI issued: 2 Apr 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.