Organization
ABSOLUTELY DRIVEN MENTAL HEALTH PROVIDER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALENTINA SOM (HEALTHCARE PROVIDER)
(201) 574-5640
Entity
Organization
Contact information
Practice address
100 VALLEY RD, SUITE1, MONTCLAIR, NJ 07042-2200
(201) 574-5640
(973) 783-8777
Mailing address
100 VALLEY RD, SUITE1, MONTCLAIR, NJ 07042-2200
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00453700
NJ
Other
Enumeration date
05/05/2016
Last updated
09/12/2016
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