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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ADAM MICHAEL FAMIGIETTI (OWNER)
(732) 687-5630
Entity
Organization

Contact information

Practice address
500 PATERSON PLANK RD STE 31046, UNION CITY, NJ 07087-3416
(732) 687-5630
Mailing address
500 PATERSON PLANK RD STE 31046, UNION CITY, NJ 07087-3416

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
08/11/2025
Last updated
09/11/2025
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