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Organization
TRANSFORMATIONAL HEALTHCARE SERVICES
Active
Organization
TRANSFORMATIONAL HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMEON MERTYL (CEO PRESIDENT)
(888) 344-4549
Entity
Organization
Contact information
Practice address
123 HIGHLAND AVE STE G2-A, GLEN RIDGE, NJ 07028-1527
(888) 344-4549
(908) 652-9230
Mailing address
111 TOWN SQUARE PLACE, SUITE 1203 PMB 1039, JERSEY CITY, NJ 07310-2784
(888) 344-4549
(908) 652-9230
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QP2400X
Prison Health Clinic/Center
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
333600000X
Pharmacy
—
—
Other
Enumeration date
08/04/2020
Last updated
02/12/2024
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