| Mending Wings To Soar | |
|
460 Bloomfield Ave Montclair NJ 07042-3582 | |
| (973) 937-8632 | |
| Not Available |
| Full Name | Mending Wings To Soar |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 460 Bloomfield Ave, Montclair, New Jersey |
| Authorized Official Name and Position | Moya Mathison (OWNER/THERAPIST) |
| Authorized Official Contact | 9739378632 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mending Wings To Soar 460 Bloomfield Ave Montclair NJ 07042-3582 Ph: (973) 937-8632 | Mending Wings To Soar 460 Bloomfield Ave Montclair NJ 07042-3582 Ph: (973) 937-8632 |
| NPI Number | 1871001057 |
|---|---|
| Provider Enumeration Date | 01/22/2018 |
| Last Update Date | 01/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871001057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 37PC00559100 (New Jersey) | Primary |
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