| Milestone Associates In Mental Health Llc | |
|
550 Harbortown Blvd Perth Amboy NJ 08861-3088 | |
| (973) 323-4381 | |
| (732) 486-8699 |
| Full Name | Milestone Associates In Mental Health Llc |
|---|---|
| Speciality | Behavior Technician |
| Location | 550 Harbortown Blvd, Perth Amboy, New Jersey |
| Authorized Official Name and Position | Shanakay K Campbell (CEO) |
| Authorized Official Contact | 9733234381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Milestone Associates In Mental Health Llc 550 Harbortown Blvd Perth Amboy NJ 08861-3088 Ph: (973) 323-4381 | Milestone Associates In Mental Health Llc 550 Harbortown Blvd Perth Amboy NJ 08861-3088 Ph: (973) 323-4381 |
| NPI Number | 1003507021 |
|---|---|
| Provider Enumeration Date | 05/19/2023 |
| Last Update Date | 05/19/2023 |
| Certification Date | 05/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003507021 | NPI | - | NPPES |
| 92-38348452 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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