NPI 1629216643

Bethel Family & Youth Resource Center

Organisation Preferred Provider Organization Newark, NJ

Practice location

Address: 65 Pierce St, Newark, NJ 07103-1716
Phone: (973) 643-6565
Fax: (862) 763-5071

Authorised official

Name: Marian Osborne
Title: Clinical Director
Phone: (973) 643-6565

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 2000126-08 (NJ)

Other Preferred Provider Organization providers in New Jersey →

Registry record

NPI: 1629216643
Entity type: Organization
NPI issued: 29 Jan 2009
Record last updated: 29 Jan 2009

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.