Organization
CATHOLIC CHARITIES-DIOCESE OF METUCHEN
Active
Organization
CATHOLIC CHARITIES-DIOCESE OF METUCHEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONICA M MEDINA LCSW (CLINICIAN I)
(732) 826-9160
Entity
Organization
Contact information
Practice address
271 SMITH ST, PERTH AMBOY, NJ 08861-4005
(732) 826-9160
Mailing address
105 ELM AVE, APT. 1, RAHWAY, NJ 07065-3216
(732) 943-2404
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1041C0700X
NJ
Other
Enumeration date
05/25/2012
Last updated
05/25/2012
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