Organization
MENTAL FLEX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTEN DEEKEN APN (CO-OWNER)
(732) 492-8976
Entity
Organization
Contact information
Practice address
154 CRESCENT AVE, WOODBRIDGE, NJ 07095-3608
(732) 860-8732
Mailing address
154 CRESCENT AVE, WOODBRIDGE, NJ 07095-3608
(732) 860-8732
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275272486
—
NJ
Enumeration date
12/06/2023
Last updated
12/06/2023
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