Organization
ON YOUR MARK TEEN COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA PAPASSO LCSW (OWNER/DIRECTOR)
(973) 885-3712
Entity
Organization
Contact information
Practice address
605 VALLEY RD STE 4, UPPER MONTCLAIR, NJ 07043-1455
(973) 746-2500
(973) 746-2502
Mailing address
PO BOX 43701, UPPER MONTCLAIR, NJ 07043-0701
(973) 746-2500
(973) 746-2502
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861737421
NPI
NJ
Enumeration date
01/23/2019
Last updated
01/23/2019
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