| Modern Mind Therapeutic Services Llc | |
|
49 Kulick St Clifton NJ 07011-2375 | |
| (973) 930-9749 | |
| Not Available |
| Full Name | Modern Mind Therapeutic Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 49 Kulick St, Clifton, New Jersey |
| Authorized Official Name and Position | Jessica Ayala (THERAPIST/ OWNER) |
| Authorized Official Contact | 9739309749 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Mind Therapeutic Services Llc 1114 Main Ave Unit 6035 Clifton NJ 07015-7200 Ph: (973) 910-0900 | Modern Mind Therapeutic Services Llc 49 Kulick St Clifton NJ 07011-2375 Ph: (973) 930-9749 |
| NPI Number | 1114502929 |
|---|---|
| Provider Enumeration Date | 03/12/2021 |
| Last Update Date | 03/12/2021 |
| Certification Date | 03/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114502929 | NPI | - | NPPES |
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