Whalio Doctors

NPI 1275997090

Urban Life Skills Academy

Organisation Community/Behavioral Health Agency Neptune, NJ

Practice location

Address
1426 7th Ave, Neptune, NJ 07753-4944
Phone
(732) 682-4343
Fax
(732) 361-8142

Authorised official

Name
Markim Shakur-Purvis
Title
Director
Phone
(732) 682-4343

Registered specialties

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence 37PC00471600 (NJ)

Registry record

NPI
1275997090
Entity type
Organization
NPI issued
7 Apr 2016
Record last updated
26 Apr 2016

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.