Organization
MT. CARMEL GUILD -RESIDENTIAL
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
2606 NEW YORK AVE, UNION CITY, NJ 07087-4621
(201) 656-7201
Mailing address
590 N 7TH ST, NEWARK, NJ 07107-2522
(973) 266-7992
(973) 596-4057
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084905
—
NJ
Enumeration date
11/07/2006
Last updated
01/24/2025
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