Organization Name: | AGC SERVICES |
NPI Number: | 1295855542 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT MCGOWAN (DIRECTOR) |
Mailing Address: | 338 President St Saddle Brook |
State: | NJ US |
Postal Code: | 076636323 |
Phone Number: | 9739283428 |
Fax Number: | |
NPI Enumeration Date: | 03/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | 35SI00033100 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |