Organization
MONTCLAIR HOSPITAL LLC
Active
Parent organization
MONTCLAIR HOSPITAL LLC
Other names
Outpatient Behavioral Health Department
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONTCLAIR HOSPITAL LLC
Authorized official
JOE JOHNSON (VICE PRESIDENT)
(866) 465-9222
Entity
Organization
Contact information
Practice address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
(973) 429-6338
(973) 680-7715
Mailing address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
(973) 429-6000
(973) 429-6209
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2008
Last updated
06/11/2013
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