Organization
URBAN MEDICAL BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA WALTON (EXECUTIVE DIRECTOR)
(201) 332-7072
Entity
Organization
Contact information
Practice address
253 MARTIN LUTHER KING JR DR, JERSEY CITY, NJ 07305-3427
(201) 332-7072
Mailing address
PO BOX 3144, JERSEY CITY, NJ 07303-3144
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
200515-11
NJ
324500000X
Substance Abuse Rehabilitation Facility
Primary
200515-11
NJ
Other
Enumeration date
09/14/2011
Last updated
09/15/2011
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