Organization
BEYOND TODAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMARA CLARK PHD (DIRECTOR)
(973) 462-4409
Entity
Organization
Contact information
Practice address
277 FAIRFIELD RD, SUITE 102, FAIRFIELD, NJ 07004-1900
(973) 462-4409
Mailing address
159 EMERSON AVE, PATERSON, NJ 07502-1605
(973) 462-4409
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
HPO179400
NJ
251S00000X
Community/Behavioral Health Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
385HR2050X
Respite Care Camp
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0256790
—
NJ
Enumeration date
11/22/2010
Last updated
10/14/2013
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