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Organization
PSYCH MANAGED CARE LLC
Active
Organization
PSYCH MANAGED CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY KOZLIK (PARTNER)
(917) 797-9737
Entity
Organization
Contact information
Practice address
317 MARTIN LUTHER KING JR DRIVE, STORE #2, JERSEY CITY, NJ 07305
(917) 797-9737
Mailing address
2662 NATIONAL DR, BROOKLYN, NY 11234-6917
(917) 797-9737
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/17/2025
Last updated
02/05/2026
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