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Organization
MENDING WINGS TO SOAR
Active
Organization
MENDING WINGS TO SOAR
Active
Other names
Mending Wings To Soar
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MOYA MATHISON LPC (OWNER/THERAPIST)
(973) 937-8632
Entity
Organization
Contact information
Practice address
460 BLOOMFIELD AVE, MONTCLAIR, NJ 07042-3582
(973) 937-8632
Mailing address
460 BLOOMFIELD AVE, MONTCLAIR, NJ 07042-3582
(973) 937-8632
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
37PC00559100
NJ
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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