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Organization
MH AT FAIR LAWN LLC
Active
Organization
MH AT FAIR LAWN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES STOKES (CEO)
(561) 318-4455
Entity
Organization
Contact information
Practice address
16-01 BROADWAY, FAIR LAWN, NJ 07410-2026
(201) 797-0001
Mailing address
2328 10TH AVE N, 3RD FLOOR, LAKE WORTH, FL 33461-6606
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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