Organization
MILESTONE ASSOCIATES IN MENTAL HEALTH LLC
Active
Other names
Mental Health Of Associates Incorporation
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANAKAY K CAMPBELL (CEO)
(973) 323-4381
Entity
Organization
Contact information
Practice address
550 HARBORTOWN BLVD, PERTH AMBOY, NJ 08861-3088
(973) 323-4381
(732) 486-8699
Mailing address
550 HARBORTOWN BLVD, PERTH AMBOY, NJ 08861-3088
(973) 323-4381
(732) 486-8699
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92-38348452
—
NJ
Enumeration date
05/19/2023
Last updated
05/19/2023
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