Organization
INNERSPACE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AJITA MOHAN (CHEIF EXECUTIVE OFFICER)
(908) 448-9282
Entity
Organization
Contact information
Practice address
2433 ROUTE 516, SUITE D, OLD BRIDGE, NJ 08857-1899
(732) 332-8270
(732) 862-1146
Mailing address
2433 ROUTE 516, SUITE D, OLD BRIDGE, NJ 08857-1899
(732) 332-8270
(732) 862-1146
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/07/2014
Last updated
06/10/2014
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