Healthcare Provider Details

I. General information

NPI: 1144861071
Provider Name (Legal Business Name): NEIGHBOURS-INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2019
Last Update Date: 03/03/2022
Certification Date: 03/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 FAWN RIDGE RD APT 231
HACKETTSTOWN NJ
07840-1635
US

IV. Provider business mailing address

49 WOODBRIDGE AVE
HIGHLAND PARK NJ
08904-3236
US

V. Phone/Fax

Practice location:
  • Phone: 973-703-6667
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251T00000X
TaxonomyPACE Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA MARTIN
Title or Position: ADVISOR
Credential:
Phone: 973-703-6667