Organization
MENTALCARE PEER SUPPORT NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN MWORIA (MANAGER/COORDINATOR)
(908) 531-8686
Entity
Organization
Contact information
Practice address
225 WILLIAMSON ST, ELIZABETH, NJ 07202-3625
(908) 531-8686
Mailing address
526 BEVERLY AVE, SCOTCH PLAINS, NJ 07076-1614
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Enumeration date
03/08/2018
Last updated
03/17/2018
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