Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VIVION LARRY BAMBARA
Active Sole ProprietorVIVION LARRY BAMBARA is a Emotionally Disturbed Children Residential Treatment healthcare provider located in LINDENWOLD, New Jersey. NPI 1649857186 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · LINDENWOLD, NJ
Registration Details
- NPI Number
- 1649857186
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 29, 2021 (5.1957812682007 yrs)
- Last Updated
- Jan 1, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 E GIBBSBORO RD APT 1611LINDENWOLD, NJ, 080211923Browse NJ providers · Browse ZIP 08021
- Phone
- 3462627732
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
- Additional Specialty
- Adult Day Care Facility
- Additional Specialty
- Emotionally Disturbed Children Residential Treatment
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.