| Mh At Fair Lawn Llc | |
|
16-01 Broadway Fair Lawn NJ 07410-2026 | |
| (201) 797-0001 | |
| Not Available |
| Full Name | Mh At Fair Lawn Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 16-01 Broadway, Fair Lawn, New Jersey |
| Authorized Official Name and Position | James Stokes (CEO) |
| Authorized Official Contact | 5613184455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mh At Fair Lawn Llc 2328 10th Ave N 3rd Floor Lake Worth FL 33461-6606 Ph: () - | Mh At Fair Lawn Llc 16-01 Broadway Fair Lawn NJ 07410-2026 Ph: (201) 797-0001 |
| NPI Number | 1073908018 |
|---|---|
| Provider Enumeration Date | 04/06/2015 |
| Last Update Date | 04/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073908018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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