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Organization
RENEW YOUR MIND
Active
Organization
RENEW YOUR MIND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME GRANT (OWNER/PRIMARY THERAPIST)
(609) 507-5443
Entity
Organization
Contact information
Practice address
6360 MARYLAND AVE, MAYS LANDING, NJ 08330-1047
(609) 507-5443
Mailing address
6360 MARYLAND AVE, MAYS LANDING, NJ 08330-1047
(609) 507-5443
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44SC06586800
NJDIVISIONOFCONSUMERAFFAIRS
NJ
Enumeration date
01/26/2026
Last updated
01/26/2026
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