Organization
MT. CARMEL GUILD ICMS UNION
Active
Organization
MT. CARMEL GUILD ICMS UNION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH MCCLENDON (ASSOCIATE EXECUTIVE DIRECTOR)
(973) 266-7992
Entity
Organization
Contact information
Practice address
505 SOUTH AVE E, CRANFORD, NJ 07016-3246
(908) 497-3923
Mailing address
590 N 7TH ST, NEWARK, NJ 07107-2522
(973) 266-7992
(973) 596-4057
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7350601
—
NJ
Enumeration date
11/28/2006
Last updated
04/13/2011
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