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Organization
WECARE ALLIANCE FOR MENTAL HEALTH
Active
Organization
WECARE ALLIANCE FOR MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY N MOMANYI (CEO)
(917) 250-0095
Entity
Organization
Contact information
Practice address
704 WHARFSIDE CT, PERTH AMBOY, NJ 08861-2999
(732) 661-6698
Mailing address
704 WHARFSIDE CT, PERTH AMBOY, NJ 08861-2999
(732) 661-6698
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0640646
—
NJ
Enumeration date
09/24/2018
Last updated
09/24/2018
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