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Organization
ABSOLUTELY DRIVEN MENTAL HEALTH PROVIDER LLC
Active
Organization
ABSOLUTELY DRIVEN MENTAL HEALTH PROVIDER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALENTINA SOM (HEALTHCARE PROVIDER)
(201) 574-5640
Entity
Organization
Contact information
Practice address
100 VALLEY RD, SUITE1, MONTCLAIR, NJ 07042-2200
(201) 574-5640
(973) 783-8777
Mailing address
100 VALLEY RD, SUITE1, MONTCLAIR, NJ 07042-2200
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00453700
NJ
Other
Enumeration date
05/05/2016
Last updated
09/12/2016
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