# ABSOLUTELY DRIVEN MENTAL HEALTH PROVIDER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548616840
- **Authorized official:** VALENTINA SOM (HEALTHCARE PROVIDER)
- **Authorized official phone:** (201) 574-5640

## Contact information

- **Practice address:** 100 VALLEY RD, SUITE1, MONTCLAIR, NJ 07042-2200
- **Practice address phone:** (201) 574-5640
- **Practice address fax:** (973) 783-8777
- **Mailing address:** 100 VALLEY RD, SUITE1, MONTCLAIR, NJ 07042-2200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 26NJ00453700 | NJ | Yes |

## Other

- **Enumeration date:** 05/05/2016
- **Last updated:** 09/12/2016