| Mental Health Therapeutic Behavioral Supports & Dev. Dis., Llc | |
|
81 Northfield Ave Ste 106 West Orange NJ 07052-5343 | |
| (973) 762-2020 | |
| (973) 762-2021 |
| Full Name | Mental Health Therapeutic Behavioral Supports & Dev. Dis., Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 81 Northfield Ave Ste 106, West Orange, New Jersey |
| Authorized Official Name and Position | Martha Taylor (CEO) |
| Authorized Official Contact | 0737622020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Therapeutic Behavioral Supports & Dev. Dis., Llc 60 N Wyoming Ave Ste 106 South Orange NJ 07079-1526 Ph: (973) 762-2020 | Mental Health Therapeutic Behavioral Supports & Dev. Dis., Llc 81 Northfield Ave Ste 106 West Orange NJ 07052-5343 Ph: (973) 762-2020 |
| NPI Number | 1528881836 |
|---|---|
| Provider Enumeration Date | 11/05/2024 |
| Last Update Date | 11/05/2024 |
| Certification Date | 11/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528881836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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