Organization
D20 THERAPEUTICS
Active
Organization
D20 THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACQUES MAITRE (OWNER)
(408) 516-6282
Entity
Organization
Contact information
Practice address
92 CHURCH ST, MONTCLAIR, NJ 07042-2713
(862) 621-9175
Mailing address
154 BERKELEY AVE, BLOOMFIELD, NJ 07003-5725
(408) 516-6282
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033609847
NPPES
—
Enumeration date
04/10/2023
Last updated
04/10/2023
Update your record
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