| Pa Mental Health | |
|
204 Erie St Ste 2fl Elizabeth NJ 07206-1569 | |
| (908) 759-2370 | |
| (908) 469-5817 |
| Full Name | Pa Mental Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 204 Erie St Ste 2fl, Elizabeth, New Jersey |
| Authorized Official Name and Position | Miguel A Matos (LICENSED MENTAL HEALTH COUN CEO) |
| Authorized Official Contact | 9087592376 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pa Mental Health 204 Erie St Ste 2fl Elizabeth NJ 07206-1569 Ph: (908) 759-2370 | Pa Mental Health 204 Erie St Ste 2fl Elizabeth NJ 07206-1569 Ph: (908) 759-2370 |
| NPI Number | 1821560012 |
|---|---|
| Provider Enumeration Date | 12/28/2018 |
| Last Update Date | 12/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821560012 | NPI | - | NPPES |
| 1033399555 | Other | PA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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