| Family Mental Health Services Llc Independent Clinic | |
|
540 North Ave Ste 4 Union NJ 07083-7149 | |
| (908) 588-2445 | |
| (908) 558-0170 |
| Full Name | Family Mental Health Services Llc Independent Clinic |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 540 North Ave Ste 4, Union, New Jersey |
| Authorized Official Name and Position | Judith Okewole (DIRECTOR) |
| Authorized Official Contact | 9085882445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Mental Health Services Llc Independent Clinic 540 North Ave Ste 4 Union NJ 07083-7149 Ph: (908) 588-2445 | Family Mental Health Services Llc Independent Clinic 540 North Ave Ste 4 Union NJ 07083-7149 Ph: (908) 588-2445 |
| NPI Number | 1942919477 |
|---|---|
| Provider Enumeration Date | 11/23/2022 |
| Last Update Date | 11/23/2022 |
| Certification Date | 11/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942919477 | NPI | - | NPPES |
| 0866113 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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