Organization
MERIDIAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KRISTIN A MILLS LSW (CRISIS CLINICIAN)
(732) 836-4664
Entity
Organization
Contact information
Practice address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(732) 836-4664
(732) 836-4665
Mailing address
425 JACK MARTIN BLVD, BRICK, NJ 08724
(732) 836-4664
(732) 836-4665
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
44SL06058800
NJ
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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