Organization Name: | GLENELLYN COMMNICATIONS, INC. |
NPI Number: | 1033238712 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EDWARD G. LAMBRO (PRESIDENT) |
Mailing Address: | 933 State Rt 23 Ste 4 Pompton Plains |
State: | NJ US |
Postal Code: | 074441047 |
Phone Number: | 9733458410 |
Fax Number: | |
NPI Enumeration Date: | 03/27/2007 |
NPI Last Update Date: | 12/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 37PC00056700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |