| Catholic Community Services Mount Carmel Guild Behavioral Health | |
|
236 Hoover Ave Bloomfield NJ 07003-3831 | |
| (973) 693-6500 | |
| (973) 743-1675 |
| Full Name | Catholic Community Services Mount Carmel Guild Behavioral Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 236 Hoover Ave, Bloomfield, New Jersey |
| Authorized Official Name and Position | John W Westervelt (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9735963984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Community Services Mount Carmel Guild Behavioral Health 590 N 7th St Newark NJ 07107-2522 Ph: (973) 596-4190 | Catholic Community Services Mount Carmel Guild Behavioral Health 236 Hoover Ave Bloomfield NJ 07003-3831 Ph: (973) 693-6500 |
| NPI Number | 1669780730 |
|---|---|
| Provider Enumeration Date | 09/22/2010 |
| Last Update Date | 09/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669780730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 03-00099 (New Jersey) | Primary |
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