| Mental Health Institute Of New Jersey | |
|
121 Cedar Ln Teaneck NJ 07666-4457 | |
| (201) 294-7445 | |
| (201) 477-0872 |
| Full Name | Mental Health Institute Of New Jersey |
|---|---|
| Speciality | Social Worker |
| Location | 121 Cedar Ln, Teaneck, New Jersey |
| Authorized Official Name and Position | Greysy E Valdes (CEO) |
| Authorized Official Contact | 0129474452 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Institute Of New Jersey 475 Banta Ave Apt 2 Garfield NJ 07026-2149 Ph: (012) 947-4452 | Mental Health Institute Of New Jersey 121 Cedar Ln Teaneck NJ 07666-4457 Ph: (201) 294-7445 |
| NPI Number | 1760041255 |
|---|---|
| Provider Enumeration Date | 06/10/2019 |
| Last Update Date | 06/10/2019 |
| Medicare PECOS PAC ID | 4789088634 |
|---|---|
| Medicare Enrollment ID | O20210813002799 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760041255 | NPI | - | NPPES |
| Provider Name | Greysy Estrella Valdes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730654179 PECOS PAC ID: 7416294871 Enrollment ID: I20190123004225 |
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