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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