| Real House Behavioral Services Inc | |
|
127 Pine St Ste 6 Montclair NJ 07042-4868 | |
| (973) 746-2400 | |
| Not Available |
| Full Name | Real House Behavioral Services Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 127 Pine St Ste 6, Montclair, New Jersey |
| Authorized Official Name and Position | Jerome Mitchell (COO) |
| Authorized Official Contact | 9142602255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Real House Behavioral Services Inc 127 Pine St Ste 6 Montclair NJ 07042-4868 Ph: (973) 746-2400 | Real House Behavioral Services Inc 127 Pine St Ste 6 Montclair NJ 07042-4868 Ph: (973) 746-2400 |
| NPI Number | 1639850910 |
|---|---|
| Provider Enumeration Date | 07/28/2023 |
| Last Update Date | 04/17/2024 |
| Certification Date | 04/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639850910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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