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Organization
ACTIVITY AND HUMAN PERFORMANCE CENTER
Active
Organization
ACTIVITY AND HUMAN PERFORMANCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK H SEGLIN PH.D. (PRESIDENT)
(973) 632-0710
Entity
Organization
Contact information
Practice address
95 MARTIN LUTHER KING JR DR, JERSEY CITY, NJ 07305-3025
(201) 332-7077
(201) 332-7003
Mailing address
PO BOX 32396, NEWARK, NJ 07102-0796
(973) 632-0710
(973) 645-9894
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2138
NJ
Other
Enumeration date
10/08/2009
Last updated
10/08/2009
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