Organization
MOUNT CARMEL GUILD BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAMONT SIMMONS (CREDENTIALING SPECIALIST)
(973) 596-3835
Entity
Organization
Contact information
Practice address
58-70 FREEMAN STREET, NEWARK, NJ 07105-4005
(973) 596-4190
(973) 639-6583
Mailing address
590 N 7TH ST, NEWARK, NJ 07107-2522
(973) 596-5101
(973) 596-3834
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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