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Organization
MYSTEPRO
Active
Organization
MYSTEPRO
Active
Other names
Mystepro
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SIMONE CYISE PATTERSON LPC LCADC (DIRECTOR OF MYSTEPRO)
(201) 780-6142
Entity
Organization
Contact information
Practice address
75 HARRISON AVE, JERSEY CITY, NJ 07304-2555
(201) 451-5425
(201) 502-8250
Mailing address
37 EDGERTON TER, EAST ORANGE, NJ 07017-3302
(201) 780-6142
(201) 502-8250
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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