Mental Wellness Center Llc | |
555 North Ave Fort Lee NJ 07024-2404 | |
(201) 410-7376 | |
Not Available |
Full Name | Mental Wellness Center Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 555 North Ave, Fort Lee, New Jersey |
Authorized Official Name and Position | Samuel Maldonado (PRESIDENT) |
Authorized Official Contact | 2013648474 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mental Wellness Center Llc 555 North Ave Fort Lee NJ 07024-2404 Ph: (201) 410-7376 | Mental Wellness Center Llc 555 North Ave Fort Lee NJ 07024-2404 Ph: (201) 410-7376 |
NPI Number | 1720594898 |
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Provider Enumeration Date | 12/27/2017 |
Last Update Date | 12/27/2017 |
Identifier | Type | State | Issuer |
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1720594898 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (New Jersey) | Primary |
Andrew Razin, M.d., P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1567 Palisade Avenue, Suite 2 C, Fort Lee, NJ 07024 Phone: 201-944-4824 Fax: 201-944-4824 | |
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