| Center For Autism And Early Childhood Mental Health | |
|
Montclair State University 14 Normal Ave. Montclair NJ 07043-1624 | |
| (973) 655-6685 | |
| (973) 655-5376 |
| Full Name | Center For Autism And Early Childhood Mental Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | Montclair State University, Montclair, New Jersey |
| Authorized Official Name and Position | Donna Mcmonagle (VICE PRESIDENT FOR FINANCE AND TREA) |
| Authorized Official Contact | 9736555105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Autism And Early Childhood Mental Health Montclair State University 1 Normal Ave. Montclair NJ 07043-1624 Ph: (973) 655-6685 | Center For Autism And Early Childhood Mental Health Montclair State University 14 Normal Ave. Montclair NJ 07043-1624 Ph: (973) 655-6685 |
| NPI Number | 1528328762 |
|---|---|
| Provider Enumeration Date | 05/22/2012 |
| Last Update Date | 06/11/2020 |
| Certification Date | 06/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528328762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 37PC00440900 (New Jersey) | Primary |
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