| Mountainside Wellness Center | |
|
41 Rogers Ln Sparta NJ 07871-3128 | |
| (561) 299-8925 | |
| Not Available |
| Full Name | Mountainside Wellness Center |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 41 Rogers Ln, Sparta, New Jersey |
| Authorized Official Name and Position | Alexander Riley (CEO) |
| Authorized Official Contact | 5512998925 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountainside Wellness Center 41 Rogers Ln Sparta NJ 07871-3128 Ph: (561) 299-8925 | Mountainside Wellness Center 41 Rogers Ln Sparta NJ 07871-3128 Ph: (561) 299-8925 |
| NPI Number | 1528508454 |
|---|---|
| Provider Enumeration Date | 02/25/2017 |
| Last Update Date | 02/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528508454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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