Organization
A REVOLVING DOOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MERCER (DIRECTOR)
(252) 903-0768
Entity
Organization
Contact information
Practice address
94 STEVENS AVE, JERSEY CITY, NJ 07305-3054
(252) 903-0768
Mailing address
94 STEVENS AVE, JERSEY CITY, NJ 07305-3054
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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