| Urban Medical Behavioral Health Services Llc | |
|
253 Martin Luther King Jr Dr Jersey City NJ 07305-3427 | |
| (201) 332-7072 | |
| Not Available |
| Full Name | Urban Medical Behavioral Health Services Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 253 Martin Luther King Jr Dr, Jersey City, New Jersey |
| Authorized Official Name and Position | Gloria Walton (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2013327072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Urban Medical Behavioral Health Services Llc Po Box 3144 Jersey City NJ 07303-3144 Ph: () - | Urban Medical Behavioral Health Services Llc 253 Martin Luther King Jr Dr Jersey City NJ 07305-3427 Ph: (201) 332-7072 |
| NPI Number | 1558643619 |
|---|---|
| Provider Enumeration Date | 09/14/2011 |
| Last Update Date | 09/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558643619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 200515-11 (New Jersey) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | 200515-11 (New Jersey) | Primary |
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