Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GASTON ACHIDI BOMA
Active Sole ProprietorGASTON ACHIDI BOMA is a Behavioral Health, Residential healthcare provider located in SOUTH PLAINFIELD, New Jersey. NPI 1316592090 is currently active in the NPPES registry. Verify at CMS.
Behavioral Health, Residential · SOUTH PLAINFIELD, NJ
Registration Details
- NPI Number
- 1316592090
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 8, 2019 (7.0492002300775 yrs)
- Last Updated
- Aug 8, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
2201 S CLINTON AVE STE 2FSOUTH PLAINFIELD, NJ, 070801473Browse NJ providers · Browse ZIP 07080
- Phone
- 9084624361
- Primary Specialty
-
Behavioral Health, Residential
251C00000X
- Additional Specialty
- Emotionally Disturbed Children Residential Treatment
- Additional Specialty
- Community/Behavioral Health
- Additional Specialty
- Respite Care (Camp)
- Additional Specialty
- Behavioral Health, Residential
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.