Organization
VELEZ PROFESSIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN MILAGRO VELEZ (CEO)
(856) 966-4515
Entity
Organization
Contact information
Practice address
1000 ATLANTIC AVE, CAMDEN, NJ 08104-1132
(856) 966-4515
(856) 966-4566
Mailing address
1000 ATLANTIC AVE, CAMDEN, NJ 08104-1132
(856) 966-4515
(856) 966-4566
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2000456
NJ
261QM0850X
Adult Mental Health Clinic/Center
2000456
NJ
261QM0855X
Adolescent and Children Mental Health Clinic/Center
2000456
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0312258
—
NJ
Enumeration date
11/24/2014
Last updated
11/24/2014
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