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Organization
MENTAL WELLNESS CENTER LLC
Active
Organization
MENTAL WELLNESS CENTER LLC
Active
Other names
Mental Wellness Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL MALDONADO PH.D. (PRESIDENT)
(201) 364-8474
Entity
Organization
Contact information
Practice address
555 NORTH AVE, FORT LEE, NJ 07024-2404
(201) 410-7376
Mailing address
555 NORTH AVE, FORT LEE, NJ 07024-2404
(201) 410-7376
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
NJ
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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