Organization
A SPACE FOR YOU MENTAL HEALTH CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASIA MILICEVIC (OWNER OF PRACTICE)
(718) 730-0787
Entity
Organization
Contact information
Practice address
654 AVENUE C STE 301, BAYONNE, NJ 07002-3899
(201) 743-8889
Mailing address
654 AVENUE C STE 301, BAYONNE, NJ 07002-3899
(201) 743-8889
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/29/2021
Last updated
08/29/2021
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