| The Youth Success Network - Communilink And Mho | |
|
16 W Main St Floor 2 Freehold NJ 07728-2210 | |
| (888) 897-6465 | |
| (877) 438-8976 |
| Full Name | The Youth Success Network - Communilink And Mho |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 16 W Main St, Freehold, New Jersey |
| Authorized Official Name and Position | M Wellesley Gray (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8888976465 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Youth Success Network - Communilink And Mho 16 West Main St Floor 2 Freehold NJ 07728 Ph: (888) 897-6465 | The Youth Success Network - Communilink And Mho 16 W Main St Floor 2 Freehold NJ 07728-2210 Ph: (888) 897-6465 |
| NPI Number | 1114161825 |
|---|---|
| Provider Enumeration Date | 04/24/2009 |
| Last Update Date | 04/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114161825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 64669006 (New Jersey) | Primary |
| 385HR2055X | Respite Care - Respite Care, Mental Illness, Child | PENDING (New Jersey) | Secondary |
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