Individual
VALEISHA MAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
127 PINE ST, MONTCLAIR, NJ 07042-4855
(973) 746-2400
Mailing address
127 PINE ST, MONTCLAIR, NJ 07042-4855
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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