| Mental Health Assn Of Essex And Morris | |
|
33 S Fullerton Ave Montclair NJ 07042 | |
| (973) 509-9777 | |
| (973) 509-9218 |
| Full Name | Mental Health Assn Of Essex And Morris |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 33 S Fullerton Ave, Montclair, New Jersey |
| Authorized Official Name and Position | Robert N Davison (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9735099777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Assn Of Essex And Morris 33 S Fullerton Ave Montclair NJ 07042-3358 Ph: (973) 509-9777 | Mental Health Assn Of Essex And Morris 33 S Fullerton Ave Montclair NJ 07042 Ph: (973) 509-9777 |
| NPI Number | 1699942391 |
|---|---|
| Provider Enumeration Date | 05/12/2008 |
| Last Update Date | 08/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699942391 | NPI | - | NPPES |
| 0017744 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 302090405 (New Jersey) | Primary |
| 251B00000X | Case Management | 302090405 (New Jersey) | Secondary |
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