| Innovators In Mental Health | |
|
650 Park Ave Apt 104 East Orange NJ 07017-1578 | |
| (973) 474-7680 | |
| Not Available |
| Full Name | Innovators In Mental Health |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 650 Park Ave Apt 104, East Orange, New Jersey |
| Authorized Official Name and Position | Steronda Ballew (OWNER) |
| Authorized Official Contact | 9734747680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovators In Mental Health 650 Park Ave Apt 104 East Orange NJ 07017-1578 Ph: (973) 474-7680 | Innovators In Mental Health 650 Park Ave Apt 104 East Orange NJ 07017-1578 Ph: (973) 474-7680 |
| NPI Number | 1477065944 |
|---|---|
| Provider Enumeration Date | 10/24/2017 |
| Last Update Date | 10/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477065944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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