Organization
MOUNTAINSIDE WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDER RILEY (CEO)
(551) 299-8925
Entity
Organization
Contact information
Practice address
41 ROGERS LN, SPARTA, NJ 07871-3128
(561) 299-8925
Mailing address
41 ROGERS LN, SPARTA, NJ 07871-3128
(561) 299-8925
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2017
Last updated
02/25/2017
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