Organization
EVA'S VILLAGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK SCHMIT (CHIEF EXECUTIVE OFFICER)
(973) 523-6220
Entity
Organization
Contact information
Practice address
16 SPRING ST, PATERSON, NJ 07501-2823
(973) 754-6784
Mailing address
393 MAIN ST, PATERSON, NJ 07501-2815
(973) 523-6220
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
304100104
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8102601
—
NJ
Enumeration date
09/19/2014
Last updated
01/09/2019
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